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DR. SHACRESA D STALEY PHARM.D.
NPI 1255613907
Pharmacist in Lawrenceville, GA

Active since September 19, 2011
2990 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA 30044(770) 978-6475(770) 978-0369 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shacresa D Staley Pharm.d. NPPES

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

DR. SHACRESA D STALEY PHARM.D. (NPI 1255613907) is an individual pharmacist in Lawrenceville, Georgia, licensed in Georgia (RPH023682) and active in the NPI registry since September 2011. She maintains a secondary practice location in Lilburn.

NPPES Registry Identity

NPI1255613907
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. SHACRESA D STALEYCredential: PHARM.D.
Location Address2990 FIVE FORKS TRICKUM RDLawrenceville, GA 30044-5872
Mailing Address2750 Amalfi WayLawrenceville, GA 30044-7857 · (901) 246-9033
Phone(770) 978-6475
Fax(770) 978-0369
Sole ProprietorNo
Enumeration DateSeptember 19, 2011
Last NPPES UpdateDecember 22, 2022
NPPES CertifiedDecember 22, 2022
✔ NPI 1255613907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · RPH023682
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.
2990 FIVE FORKS TRICKUM RD, Lawrenceville, GA 30044
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Secondary Practice Location 1

Location 14235 Lawrenceville Hwy NWLilburn, GA 30047-3427 · Phone (770) 921-7074 · Fax (770) 921-7083

Other Providers at the Same Location NPPES 17

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

AREEJ H. OBAID
Pharmacist
2990 FIVE FORKS TRICKUM RD
LAWRENCEVILLE, GA 30044
Gwinnett County (770) 978-6475
DR. KAYLA PILLAY PHARMD
Pharmacist
2990 FIVE FORKS TRICKUM RD
LAWRENCEVILLE, GA 30044
Gwinnett County (770) 978-6475
MRS. AIDA SONBATI RPH
Pharmacist
2990 FIVE FORKS TRICKUM RD
LAWRENCEVILLE, GA 30044
Gwinnett County (770) 978-6475
SIMY CASASOLA
Pharmacist
2990 FIVE FORKS TRICKUM RD, WALGREENS #05446
LAWRENCEVILLE, GA 30044
Gwinnett County (770) 978-6475
IRENE ESQUIVEL PHARM.D.
Pharmacist
2990 FIVE FORKS TRICKUM RD
LAWRENCEVILLE, GA 30044
Gwinnett County (404) 966-7700
KASHMIRA PATEL
Pharmacist
2990 FIVE FORKS TRICKUM RD
LAWRENCEVILLE, GA 30044
Gwinnett County (770) 978-6475
ESTHER SUE PARK PHARM D
Pharmacist
2990 FIVE FORKS TRICKUM RD
LAWRENCEVILLE, GA 30044
Gwinnett County (770) 978-6475
CIERRA GREEN FNP-C
Nurse Practitioner (Family)
2990 FIVE FORKS TRICKUM RD
LAWRENCEVILLE, GA 30044
Gwinnett County (678) 732-1500

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 Shacresa Staley's NPI number?

The NPI number for Shacresa Staley is 1255613907. It was assigned to this individual provider in the NPPES registry on September 19, 2011.

Where is Shacresa Staley located?

Shacresa Staley practices at 2990 Five Forks Trickum Rd, Lawrenceville, GA 30044. The listed phone number is (770) 978-6475.

What is Shacresa Staley'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 Shacresa Staley was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.