Individual provider Active NPI

Gregory W Gossman, PHARM. D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Fort Worth, TX
National Provider Identifier
1356640049
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
31364 Issued in TX
Practice address
3921 Hwy 377 South
Fort Worth, TX 76116
Phone
(817) 738-2135
Fax
(817) 763-8784
NPI assigned
Mar 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 31364 TX Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 1817 WY

Addresses

Primary practice location

3921 Hwy 377 South
Fort Worth, TX 76116

Mailing address

3921 Hwy 377 South
Fort Worth, TX 76116
Phone (817) 738-2135

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
1817WYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1356640049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 HWY 377 SOUTH",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76116",
            "telephone_number": "817-738-2135",
            "fax_number": "817-763-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 HWY 377 SOUTH",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76116",
            "telephone_number": "817-738-2135",
            "fax_number": "817-763-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSMAN",
        "first_name": "GREGORY",
        "middle_name": "W",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "31364",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WY",
            "license": "1817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.