Gentry Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113729 Issued in AL

Legal business name

GENTRY PHARMACY LLC

Doing business as

Gentry Health Mart Pharmacy

Practice address

3100 Blue Lake Drive
Vestavia, AL 35243

Phone

(205) 970-1983

Fax

(205) 970-1986

NPI assigned

May 31, 2011

Last updated

Aug 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Clint Gentry, PHARMDNPI 1720688799

Title

Owner/Manager

Phone

(205) 970-1983

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Gentry Health Mart Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Clint Gentry, PHARMD

  • Critical Care Pharmacist
  • Birmingham, AL
  • NPI 1720688799
  NPD Authorized official

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1578857108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BLUE LAKE DRIVE",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-970-1983",
            "fax_number": "205-970-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BLUE LAKE DRIVE",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-970-1983",
            "fax_number": "205-970-1986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Cahaba River Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Vestavia",
            "state": "AL",
            "postal_code": "352432325",
            "country_code": "US",
            "telephone_number": "205-970-1983",
            "fax_number": "205-970-1986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENTRY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CLINT",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "205-970-1983",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113729",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130074",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129374",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentry Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gentry Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Garrett
• Samantha Garrett, BCBA
• Katelyn Garrison
• Ryan Gatza
• Genesis Dental Group Liberty Park
• Hannah Stevenson George, ARNP
• Kyana George
• Johnny M Gibbs, M.D.
• Sarah Gibson, CRNP
• Aileen Giddens, RPH

• Community/Retail Pharmacy in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.