IndividualActive
Jerald Sisemore, PHARMD
NPI 1114522265 · Pharmacist · Lago Vista, TX
Jerald Sisemore, PHARMD is a Pharmacist provider in Lago Vista, TX (NPI 1114522265).
Provider details
- NPI number
- 1114522265
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 43621 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20601 Fm 1431
Lago Vista, TX 78645-4505
Phone: (512) 267-8010
Fax: (512) 267-8016
Approximate (ZIP-level) locationGet directions
Mailing address
20601 Fm 1431
Lago Vista, TX 78645-4505
Registry dates
- Enumerated
- 2020-12-04
- Last updated
- 2020-12-04
- Certified
- 2020-12-04
Frequently asked questions
- What is Jerald Sisemore's NPI number?
- Jerald Sisemore's National Provider Identifier (NPI) is 1114522265, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerald Sisemore's specialty?
- Jerald Sisemore is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jerald Sisemore located?
- Jerald Sisemore's practice location on file with NPPES is 20601 Fm 1431, Lago Vista, TX 78645-4505.
- What is Jerald Sisemore's phone number?
- The practice phone number listed in the NPPES registry for Jerald Sisemore is (512) 267-8010.
- Is Jerald Sisemore's NPI active?
- Yes — Jerald Sisemore's NPI (1114522265) is active in the NPPES registry as of the last update on 2020-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.