Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jerald Grant Sisemore Jr., PHARMD

Individual provider Pharmacist · NPI 1114522265

Dr. Jerald Grant Sisemore Jr., PHARMD is a Pharmacist in Lago Vista, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

20601 Fm 1431
Lago Vista, TX 78645-4505
Phone: (512) 267-8010
Fax: (512) 267-8016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 43621 (TX)

Record details

NPI number1114522265
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedDecember 4, 2020
Last updated in NPPESDecember 4, 2020
Certification dateDecember 4, 2020

Other providers in Lago Vista