Jacquelyn Halleck Sisk , RPH
Pharmacist • Dallas, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacquelyn Sisk has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jacquelyn Sisk, RPH was a registered Pharmacist practicing in Dallas, GA. Throughout an active medical career spanning 16 years, Jacquelyn Sisk provided care at the practice location at 600 W MEMORIAL DR until profile deactivation on 2021-04-28.
Practice Location & Contact Primary Location
600 W Memorial Dr
Dallas, GA 301324117
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Dallas, GA
Practicing in Dallas, GA (8508 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Emergency Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Adult Health
Nurse Practitioner
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 28, 2021
NPI status registered as active in NPPES database
Registered at 600 W MEMORIAL DR, DALLAS, GA 301324117 (Tel: 7704434781)
Registered at 166 THREECHOP DR NW, MARIETTA, GA 300645143 (Tel: 7704221824)
Recorded as JACQUELYN SISK, RPH
Pharmacist (License #013820 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
166 Threechop Dr Nw
Marietta, GA 300645143
Phone: 7704221824
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