Active NPI
Coby Dean Gardner, PHARMD
- Pharmacist
- Wichita Falls, TX
National Provider Identifier
1568524601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39962
- Practice address
- 2700 Central Fwy
Wichita Falls, TX 76306-2843 - Phone
- (940) 855-2374
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 39962 | TX | Primary |
Addresses
Primary practice location
2700 Central Fwy
Wichita Falls, TX 76306-2843
Mailing address
2700 Central Fwy
Wichita Falls, TX 76306-2843
Phone (940) 855-2374
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39962 | TX | MD | Health Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1568524601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 CENTRAL FWY",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763062843",
"telephone_number": "940-855-2374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 CENTRAL FWY",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763062843",
"telephone_number": "940-855-2374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "COBY",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "39962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.