Active NPI
Fred Gilreath
- Pharmacist
- Fort Oglethorpe, GA
National Provider Identifier
1720471469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8453
- Practice address
- 3801 Tennessee Ave.
Fort Oglethorpe, GA 30742 - Phone
- (423) 821-0038
- NPI assigned
- Mar 5, 2015
- Last updated
- Mar 5, 2015
- 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 | 8453 | TN | Primary |
Addresses
Primary practice location
3801 Tennessee Ave.
Fort Oglethorpe, GA 30742
Mailing address
129 Cordell Ave
La Fayette, GA 30728-3834
Phone (423) 580-3259
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8453 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1720471469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 CORDELL AVE",
"city": "LA FAYETTE",
"state": "GA",
"postal_code": "307283834",
"telephone_number": "423-580-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 TENNESSEE AVE.",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "30742",
"telephone_number": "423-821-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILREATH",
"first_name": "FRED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "8453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Oglethorpe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.