Gerald Robert Eisenbeis II, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302030502 Issued in MI

Practice address

G3320 Beecher Rd
Diplomat Specialty Pharmacy
Flint, MI 48532

Phone

(810) 732-8720

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255470738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 DEER CREEK TRL",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399263",
            "telephone_number": "810-655-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3320 BEECHER RD",
            "address_2": "DIPLOMAT SPECIALTY PHARMACY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-732-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBEIS",
        "first_name": "GERALD",
        "middle_name": "ROBERT",
        "name_suffix": "II",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302030502",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS39914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Edward Eick, CP
• Nibal A Eid, MD
• Margaret Einheuser, CRNA
• Austin Edward Eirk, MD
• Mackenzie Eischer
• David Eisenbrey, MD
• Mousa Gomaa Eissa
• Maha Ejaz, MD
• Stephanie Ekhardt
• Sami Hamid El-Nachef, DDS

• Pharmacist in Flint, MI
• Providers in Flint, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.