Active NPI
Kaitlyn Elizabeth Gary, PHARMD
- Pharmacist
- Montgomery, AL
National Provider Identifier
1023613833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20072
- Practice address
- 6990 Atlanta Hwy
Montgomery, AL 36117-4200 - Phone
- (334) 271-5861
- NPI assigned
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202219175 | VA | |
| Pharmacist | 183500000X | RPH032582 | GA | |
| Pharmacist | 183500000X | 20072 | AL | Primary |
Addresses
Primary practice location
6990 Atlanta Hwy
Montgomery, AL 36117-4200
Mailing address
564 Heritage CT
Auburn, AL 36830-3864
Phone (334) 207-5730
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20072 | AL | MD | Pharmacist |
| RPH032582 | GA | MD | Pharmacist |
| 0202219175 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1023613833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 HERITAGE CT",
"city": "AUBURN",
"state": "AL",
"postal_code": "368303864",
"telephone_number": "334-207-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6990 ATLANTA HWY",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361174200",
"telephone_number": "334-271-5861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARY",
"first_name": "KAITLYN",
"middle_name": "ELIZABETH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202219175",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH032582",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.