Active NPI
David Edgar Gerhardt, R.PH.
- Pharmacist
- Monona, WI
National Provider Identifier
1124371307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7688-40
- Practice address
- 2101 W Broadway
Monona, WI 53713-1638 - Phone
- (608) 222-2066
- Fax
- (608) 222-0578
- NPI assigned
- Oct 24, 2012
- 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 | 7688-40 | WI | Primary |
Addresses
Primary practice location
2101 W Broadway
Monona, WI 53713-1638
Mailing address
5839 Woodland Dr
Waunakee, WI 53597-9010
Phone (608) 850-9027
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 |
|---|---|---|---|
| 7688-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1124371307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5839 WOODLAND DR",
"city": "WAUNAKEE",
"state": "WI",
"postal_code": "535979010",
"telephone_number": "608-850-9027",
"fax_number": "608-850-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 W BROADWAY",
"city": "MONONA",
"state": "WI",
"postal_code": "537131638",
"telephone_number": "608-222-2066",
"fax_number": "608-222-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERHARDT",
"first_name": "DAVID",
"middle_name": "EDGAR",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-24",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "7688-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.