Active NPI
Eric Shawn Gilbert, PHARMD
- Pharmacist
- Kingsport, TN
National Provider Identifier
1558836494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42610
- Practice address
- 750 Lynn Garden Dr
Kingsport, TN 37660-5608 - Phone
- (423) 408-6162
- NPI assigned
- Oct 8, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42610 | TN | Primary |
Addresses
Primary practice location
750 Lynn Garden Dr
Kingsport, TN 37660-5608
Mailing address
750 Lynn Garden Dr
Kingsport, TN 37660-5608
Phone (423) 408-6162
Other practice location 1
1997 Buffalo Trl
Morristown, TN 37814-4364
Phone (423) 254-6597
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Stores East LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Kingsport, TN
- NPI 1659757854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1558836494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 LYNN GARDEN DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376605608",
"telephone_number": "423-408-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 LYNN GARDEN DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376605608",
"telephone_number": "423-408-6162"
}
],
"practiceLocations": [
{
"address_1": "1997 Buffalo Trl",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "TN",
"postal_code": "378144364",
"country_code": "US",
"telephone_number": "423-254-6597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILBERT",
"first_name": "ERIC",
"middle_name": "SHAWN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "42610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.