Individual provider Active NPI

Kyle Gehle, PHARMD

  • Pharmacist
  • Greenville, OH
National Provider Identifier
1346840410
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03330959 Issued in OH
Practice address
1501 Wagner Ave
Greenville, OH 45331-2763
Phone
(937) 547-9844
Fax
(937) 547-9648
NPI assigned
Oct 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03330959 OH Primary

Addresses

Primary practice location

1501 Wagner Ave
Greenville, OH 45331-2763

Mailing address

1501 Wagner Ave
Greenville, OH 45331-2763
Phone (937) 547-9844

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

LicenseStateTypeSpecialty
03330959OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1346840410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WAGNER AVE",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312763",
            "telephone_number": "937-547-9844",
            "fax_number": "937-547-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WAGNER AVE",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312763",
            "telephone_number": "937-547-9844",
            "fax_number": "937-547-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHLE",
        "first_name": "KYLE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03330959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.