1. Home
  2. Directory
  3. Texas
  4. Lago Vista
  5. Pharmacist
  6. NPI Profile

DR. JERALD GRANT SISEMORE JR. PHARMD
NPI 1114522265
Pharmacist in Lago Vista, TX

Active since December 04, 2020
20601 FM 1431, LAGO VISTA, TX 78645(512) 267-8010(512) 267-8016 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerald Grant Sisemore Jr. Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERALD GRANT SISEMORE JR. PHARMD (NPI 1114522265) is an individual pharmacist in Lago Vista, Texas, licensed in Texas (43621) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1114522265
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JERALD GRANT SISEMORE JR.Credential: PHARMD
Location Address20601 FM 1431Lago Vista, TX 78645-4505
Mailing Address20601 Fm 1431Lago Vista, TX 78645-4505 · (512) 267-8010 · Fax (512) 267-8016
Phone(512) 267-8010
Fax(512) 267-8016
Sole ProprietorNo
Enumeration DateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
✔ NPI 1114522265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TX · 43621
Definition
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.
20601 FM 1431, Lago Vista, TX 78645
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CVS PHARMACY INC
Pharmacy
20601 FM 1431
LAGO VISTA, TX 78645
Travis County (817) 292-0048
HEATHER LONG RPH
Pharmacist
20601 FM 1431
LAGO VISTA, TX 78645
Travis County (512) 267-8010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerald Sisemore's NPI number?

The NPI number for Jerald Sisemore is 1114522265. It was assigned to this individual provider in the NPPES registry on December 4, 2020.

Where is Jerald Sisemore located?

Jerald Sisemore practices at 20601 Fm 1431, Lago Vista, TX 78645. The listed phone number is (512) 267-8010.

What is Jerald Sisemore's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jerald Sisemore was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.