Individual provider Active NPI

Gilbert Gitau, PHAMD

  • Pharmacist
  • San Antonio, TX
National Provider Identifier
1033522909
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
57976 Issued in TX
Practice address
2559 Jackson Keller Rd Ste 2561
San Antonio, TX 78230-5246
Phone
(210) 348-1532
NPI assigned
Jun 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20941 MD
Pharmacist 183500000X 57976 TX Primary

Addresses

Primary practice location

2559 Jackson Keller Rd Ste 2561
San Antonio, TX 78230-5246

Mailing address

5628 Carriage FLS
San Antonio, TX 78261-2153
Phone (302) 981-6163

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

State licenses

LicenseStateTypeSpecialty
57976TXMDPharmacist
20941MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lela Pharmacy LLC CurrentSince Nov 29, 2020 Accepting new patients
Glendale Pharmacy LLC Current Accepting new patients
Rebuil-T Healthcare LLC PastSince Nov 29, 2020 Accepting new patients

Locations

2559 Jackson Keller Rd
Ste 2561
San Antonio, TX 78230
Phone (210) 348-1532

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1033522909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5628 CARRIAGE FLS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612153",
            "telephone_number": "302-981-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 JACKSON KELLER RD STE 2561",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305246",
            "telephone_number": "210-348-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITAU",
        "first_name": "GILBERT",
        "credential": "PHAMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-08",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "20941",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "57976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.

Verify at the official NPI Registry.