Theodora Seigfred

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PHTC057072 Issued in GA

Practice address

305 W Main St
Manchester, GA 31816-1656

Phone

(706) 846-8647

Fax

(706) 846-3775

NPI assigned

Feb 6, 2024

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1992568497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "318161656",
            "telephone_number": "706-846-8647",
            "fax_number": "706-846-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "318161656",
            "telephone_number": "706-846-8647",
            "fax_number": "706-846-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIGFRED",
        "first_name": "THEODORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "GA",
            "license": "PHTC057072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy Technician in Manchester, GA
• Providers in Manchester, GA by specialty
• Pharmacy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.