Mark Edward Gayheart, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

20774 Issued in AL

Practice address

1061 Highway 280
Alexander City, AL 35010-4622

Phone

(256) 234-5156

Fax

(256) 243-5428

NPI assigned

Jan 9, 2020

Last updated

Jan 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1477193241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HIGHWAY 280",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104622",
            "telephone_number": "256-234-5156",
            "fax_number": "256-234-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HIGHWAY 280",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104622",
            "telephone_number": "256-234-5156",
            "fax_number": "256-243-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYHEART",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "20774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENCE NUMBER",
            "identifier": "20774",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gayheme@segrocers.com",
            "affiliation": "N",
            "endpointDescription": "corporate email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1061 Highway 280",
            "city": "Alexander City",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350104622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renee Payne Freeman, CRNA
• Fresenius Medical Care Alexander City, LLC
• Kristen McDaniel Fuller, CRNA
• Lara Garrard, PHARM D
• Tiffany Dean Garrett, LMT
• Louise Roach Geary, M.D.
• Blair Taylor Gilliland, CRNP
• Destiny Anastasia Goble, LMT, CEMFT
• Michele Goldhagen, MD
• Paige Gordon, CRNP

• Pharmacist in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.