Active NPI
Gerald Walter Gettel, RPH
- Pharmacist
- Bemidji, MN
National Provider Identifier
1093056343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 115945
- Practice address
- 219 Paul Bunyan Dr NW
Bemidji, MN 56601-2433 - Phone
- (218) 444-5228
- Fax
- (218) 444-2451
- NPI assigned
- Mar 12, 2013
- Sex
- Male
- 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 | 115945 | MN | Primary |
Addresses
Primary practice location
219 Paul Bunyan Dr NW
Bemidji, MN 56601-2433
Mailing address
219 Paul Bunyan Dr NW
Bemidji, MN 56601-2433
Phone (218) 444-5228
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115945 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Dobson Inc | Past | Accepting new patients | |
| A Dobson Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Long Term Care Pharmacy
- Bemidji, MN
- NPI 1033341508
-
- Long Term Care Pharmacy
- Bemidji, MN
- NPI 1316426729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1093056343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 PAUL BUNYAN DR NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566012433",
"telephone_number": "218-444-5228",
"fax_number": "218-444-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 PAUL BUNYAN DR NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566012433",
"telephone_number": "218-444-5228",
"fax_number": "218-444-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GETTEL",
"first_name": "GERALD",
"middle_name": "WALTER",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-12",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "115945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.