John Morgan Gentry, RPH
Individual provider Active NPI Pharmacist · Altoona, AL
NPI 1144529280 · NPPES record last updated Mar 15, 2011
Key facts
- NPI
- 1144529280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7897 (AL)
- Practice address
- 87458 US Highway 278
Altoona, AL 35952-9638 - Phone
- (205) 466-7990
- Fax
- (205) 466-3603
- NPI assigned
- Mar 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7897 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John M Gentry | Current | Accepting new patients |
Locations
87458 US Highway 278
Snead, AL 35952
Phone (205) 466-7990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7897 | AL | Yes |
Addresses
Primary practice location
87458 US Highway 278
Altoona, AL 35952-9638
Mailing address
PO Box 510
Snead, AL 35952-0510
Phone (205) 466-7990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100001501 | Medicaid | AL |
Other providers in Altoona, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2011. 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.