Active NPI
Robert Clint Gentry, PHARMD
- Critical Care Pharmacist
- Birmingham, AL
National Provider Identifier
1720688799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pharmacist
- License
- 15456
- Practice address
- 4700 Cahaba River Rd Ste B
Birmingham, AL 35243-2325 - Phone
- (205) 970-1983
- NPI assigned
- Oct 29, 2020
- Last updated
- Oct 29, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Critical Care Pharmacist | 1835C0205X | 15456 | AL | Primary |
Addresses
Primary practice location
4700 Cahaba River Rd Ste B
Birmingham, AL 35243-2325
Mailing address
2986 Altadena Ridge Dr
Vestavia, AL 35243-4724
Phone (205) 790-2120
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 |
|---|---|---|---|
| 15456 | AL | MD | Critical Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentry Pharmacy LLC | Critical Care | Current | Accepting new patients |
Locations
4700 Cahaba River Rd
#B
Vestavia, AL 35243
Phone (205) 970-1983
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gentry Health Mart Pharmacy
- Community/Retail Pharmacy
- Vestavia, AL
- NPI 1578857108
Critical Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1720688799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2986 ALTADENA RIDGE DR",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352434724",
"telephone_number": "205-790-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 CAHABA RIVER RD STE B",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432325",
"telephone_number": "205-970-1983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "ROBERT",
"middle_name": "CLINT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "AL",
"license": "15456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.