Active NPI
Clayton Gilde, PHARMD
- Pharmacist
- MC Bain, MI
National Provider Identifier
1174872196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302039124
- Practice address
- 119 N Roland St
MC Bain, MI 49657-9683 - Phone
- (231) 825-8175
- NPI assigned
- Sep 5, 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 | 5302039124 | MI | Primary |
Addresses
Primary practice location
119 N Roland St
MC Bain, MI 49657-9683
Mailing address
302 W Cemetery Rd
MC Bain, MI 49657-9702
Phone (231) 825-8175
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 |
|---|---|---|---|
| 5302039124 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1174872196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 W CEMETERY RD",
"city": "MC BAIN",
"state": "MI",
"postal_code": "496579702",
"telephone_number": "231-825-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 N ROLAND ST",
"city": "MC BAIN",
"state": "MI",
"postal_code": "496579683",
"telephone_number": "231-825-8175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILDE",
"first_name": "CLAYTON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302039124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Bain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.