Patrick Michael Gunn, PHARMD
Individual provider Active NPI Pharmacist · Cherokee, IA
NPI 1104445121 · NPPES record last updated Apr 9, 2020
Key facts
- NPI
- 1104445121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23379 (IA)
- Practice address
- 800 N 2ND St
Cherokee, IA 51012-1278 - Phone
- (712) 225-6121
- Fax
- (712) 225-3782
- NPI assigned
- Apr 9, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23379 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23379 | IA | Yes |
Addresses
Primary practice location
800 N 2ND St
Cherokee, IA 51012-1278
Mailing address
800 N 2ND St
Cherokee, IA 51012-1278
Phone (712) 225-6121
Other providers in Cherokee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.