Individual provider Active NPI

Mikel Gilbert, RPH

  • Pharmacist
  • Mobile, AL
National Provider Identifier
1457645582
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10158 Issued in AL
Practice address
790 Schillinger Rd S
Target Pharmacy
Mobile, AL 36695-8979
Phone
(251) 776-1512
Fax
(251) 776-1512
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10158 AL Primary

Addresses

Primary practice location

790 Schillinger Rd S
Target Pharmacy
Mobile, AL 36695-8979

Mailing address

790 Schillinger Rd S
Target Pharmacy
Mobile, AL 36695-8979
Phone (251) 776-1512

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
10158ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1457645582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 SCHILLINGER RD S",
            "address_2": "TARGET PHARMACY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958979",
            "telephone_number": "251-776-1512",
            "fax_number": "251-776-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 SCHILLINGER RD S",
            "address_2": "TARGET PHARMACY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958979",
            "telephone_number": "251-776-1512",
            "fax_number": "251-776-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "MIKEL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "10158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.