Individual provider Active NPI

David Gambrall

  • Pharmacist
  • Newburgh, IN
National Provider Identifier
1689270860
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26013552 Issued in IN
Practice address
6633 Woodcrest CT
Newburgh, IN 47630-8468
Phone
(812) 480-2077
NPI assigned
Dec 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26013552 IN Primary

Addresses

Primary practice location

6633 Woodcrest CT
Newburgh, IN 47630-8468

Mailing address

6633 Woodcrest CT
Newburgh, IN 47630-8468
Phone (812) 480-2077

Other practice location 1

7722 W State Route 66
Newburgh, IN 47630-2529
Phone (812) 853-6166

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

State licenses

LicenseStateTypeSpecialty
26013552INMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1689270860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 WOODCREST CT",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308468",
            "telephone_number": "812-480-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 WOODCREST CT",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308468",
            "telephone_number": "812-480-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7722 W State Route 66",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476302529",
            "country_code": "US",
            "telephone_number": "812-853-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBRALL",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26013552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.