Michael Dale Gary, RPH
Individual provider Active NPI Pharmacist · Irondale, AL
NPI 1477082691 · NPPES record last updated Jun 10, 2017
Key facts
- NPI
- 1477082691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7168 (AL)
- Practice address
- 1600 Montclair Rd
Irondale, AL 35210-2410 - Phone
- (205) 951-0355
- Fax
- (205) 956-3912
- NPI assigned
- Jun 10, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7168 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7168 | AL | Yes |
Addresses
Primary practice location
1600 Montclair Rd
Irondale, AL 35210-2410
Mailing address
4113 Brook Way
Birmingham, AL 35213-3101
Phone (205) 908-0963
Other providers in Irondale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.