Active NPI
Brian Richard Gosa, PHARM,D.
- Pharmacist
- Selma, AL
National Provider Identifier
1649453564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15345
- Practice address
- 1210 Primrose Ter
Selma, AL 36703-4132 - Phone
- (334) 875-2719
- NPI assigned
- Dec 13, 2007
- 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 | 15345 | AL | Primary |
Addresses
Primary practice location
1210 Primrose Ter
Selma, AL 36703-4132
Mailing address
1210 Primrose Ter
Selma, AL 36703-4132
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 |
|---|---|---|---|
| 15345 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1649453564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 PRIMROSE TER",
"city": "SELMA",
"state": "AL",
"postal_code": "367034132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 PRIMROSE TER",
"city": "SELMA",
"state": "AL",
"postal_code": "367034132",
"telephone_number": "334-875-2719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSA",
"first_name": "BRIAN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PHARM,D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.