Organization Active NPI

Gilchrist Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Hartselle, AL
National Provider Identifier
1649786849
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114764 Issued in AL
Legal business name
GILCHRIST PHARMACY, INC.
Practice address
615 Mynatt Street, Suite F
Hartselle, AL 35640
Phone
(256) 773-0050
NPI assigned
Dec 26, 2017
Last updated
Dec 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Michael Wayne PreuittNPI 1881603603
Title
President
Phone
(256) 773-1998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 114764 AL Primary

Addresses

Primary practice location

615 Mynatt Street, Suite F
Hartselle, AL 35640

Mailing address

404 Sparkman St NW
Hartselle, AL 35640-2326
Phone (256) 773-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180712000924 AL Part B Supplier - Mass Immunization (Roster Biller Only) 5496001075 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hartselle, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2148366Gilchrist Pharmacy #2615 Mynatt St Suite F, Hartselle, AL 35640Certificate of waiverMay 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Gilchrist Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

404 Sparkman St NW
Hartselle, AL 35640
Phone (256) 773-1998

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1649786849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SPARKMAN ST NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402326",
            "telephone_number": "256-773-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MYNATT STREET, SUITE F",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "35640",
            "telephone_number": "256-773-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILCHRIST PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "PREUITT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-773-1998"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartselle, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.