Active NPI
Gilchrist Pharmacy, Inc.
- Community/Retail Pharmacy
- Hartselle, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 114764
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Wayne Preuitt
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2148366 | Gilchrist Pharmacy #2 | Certificate of waiver | May 8, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Gilchrist Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Hartselle, AL
- NPI 1841297314
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.
-
- Pharmacist
- Hartselle, AL
- NPI 1881603603
-
- Pharmacist
- Hartselle, AL
- NPI 1841772126
-
- Pharmacist
- Hartselle, AL
- NPI 1730556457
-
- Pharmacist
- Fayetteville, GA
- NPI 1114536299
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.