Individual provider Active NPI

Gene Gunselman, RPH

  • Pharmacist
  • Mount Pleasant, SC
National Provider Identifier
1740593300
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11133 Issued in SC
Practice address
1220 Ben Sawyer Blvd
Mount Pleasant, SC 29464-4581
Phone
(843) 884-3261
NPI assigned
Jul 23, 2010
Last updated
Jul 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11133 SC Primary

Addresses

Primary practice location

1220 Ben Sawyer Blvd
Mount Pleasant, SC 29464-4581

Mailing address

2217 Magnolia Meadows Dr
Mount Pleasant, SC 29464-7562
Phone (843) 216-7765

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
11133SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1740593300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 MAGNOLIA MEADOWS DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647562",
            "telephone_number": "843-216-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BEN SAWYER BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644581",
            "telephone_number": "843-884-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNSELMAN",
        "first_name": "GENE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.