Individual provider Active NPI

Donald Charles Gitersonke, RPH, MBA

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1013133784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12226 Issued in NV
Practice address
9333 Mount Cherie Ave
# 101
Las Vegas, NV 89129-7566
Phone
(702) 256-0833
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20405 MI
Pharmacist 183500000X 12226 NV Primary

Addresses

Primary practice location

9333 Mount Cherie Ave
# 101
Las Vegas, NV 89129-7566

Mailing address

9333 Mount Cherie Ave
# 101
Las Vegas, NV 89129-7566
Phone (702) 256-0833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
20405MIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013133784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 MOUNT CHERIE AVE",
            "address_2": "# 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297566",
            "telephone_number": "702-256-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 MOUNT CHERIE AVE",
            "address_2": "# 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297566",
            "telephone_number": "702-256-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITERSONKE",
        "first_name": "DONALD",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "RPH, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "20405",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "12226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.