Active NPI
Allissa Lea Gentile, PHARM.D.
- Pharmacist
- Homewood, AL
National Provider Identifier
1043927528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22772
- Practice address
- 3030 Independence Dr
Homewood, AL 35209-4110 - Phone
- (205) 871-9672
- NPI assigned
- Nov 3, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22772 | AL | Primary |
Addresses
Primary practice location
3030 Independence Dr
Homewood, AL 35209-4110
Mailing address
3030 Independence Dr
Homewood, AL 35209-4110
Phone (205) 871-9672
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 |
|---|---|---|---|
| 22772 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Current | Accepting new patients |
Locations
3030 Independence Dr
Homewood, AL 35209
Phone (205) 871-9671
Organizations & group practices 1
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": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1043927528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 INDEPENDENCE DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352094110",
"telephone_number": "205-871-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 INDEPENDENCE DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352094110",
"telephone_number": "205-871-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "ALLISSA",
"middle_name": "LEA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "22772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.