Active NPI
Emily A Gicewicz, PHARMD
- Pharmacist
- Tuscaloosa, AL
National Provider Identifier
1275172124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202217870
- Practice address
- 3701 Loop Rd
Tuscaloosa, AL 35404-5015 - Phone
- (205) 554-2000
- NPI assigned
- Dec 24, 2019
- Sex
- Female
- 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 | 0202217870 | VA | Primary |
Addresses
Primary practice location
3701 Loop Rd
Tuscaloosa, AL 35404-5015
Mailing address
3701 Loop Rd
Tuscaloosa, AL 35404-5015
Phone (205) 554-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202217870 | Other | VA | VIRGINIA BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 0202217870 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1275172124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 LOOP RD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045015",
"telephone_number": "205-554-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 LOOP RD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045015",
"telephone_number": "205-554-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GICEWICZ",
"first_name": "EMILY",
"middle_name": "A",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-24",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202217870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA BOARD OF PHARMACY",
"identifier": "0202217870",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.