Provider Demographics
NPI:1205918950
Name:SIEROCINSKI, JONI FOARD (PHARMD, CDE)
Entity type:Individual
Prefix:DR
First Name:JONI
Middle Name:FOARD
Last Name:SIEROCINSKI
Suffix:
Gender:F
Credentials:PHARMD, CDE
Other - Prefix:DR
Other - First Name:JONI
Other - Middle Name:CRAIG
Other - Last Name:FOARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37662-0009
Mailing Address - Country:US
Mailing Address - Phone:423-857-2066
Mailing Address - Fax:423-857-2070
Practice Address - Street 1:105 W STONE DR
Practice Address - Street 2:STE 3A
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3365
Practice Address - Country:US
Practice Address - Phone:423-392-6200
Practice Address - Fax:423-392-6593
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN98141835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy