Setondji Gbegan, PHARMD
Individual provider Active NPI Pharmacist · Greenville, AL
NPI 1225523012 · NPPES record last updated Jun 25, 2018
Key facts
- NPI
- 1225523012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20267 (AL)
- Practice address
- 501 Willow LN
Greenville, AL 36037-9709 - Phone
- (334) 382-7456
- NPI assigned
- Jun 25, 2018
- 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 |
|---|---|---|---|
| 20267 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20267 | AL | Yes |
Addresses
Primary practice location
501 Willow LN
Greenville, AL 36037-9709
Mailing address
501 Willow LN
Greenville, AL 36037-9709
Phone (334) 382-7456
Other providers in Greenville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2018. 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.