Gary Dean Barker, RPH
Individual provider Active NPI Pharmacist · Bismarck, ND
NPI 1760747653 · NPPES record last updated Jul 7, 2012
Key facts
- NPI
- 1760747653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4129 (ND)
- Practice address
- 2700 State St Ste F13
Bismarck, ND 58503-0674 - Phone
- (701) 530-5800
- Fax
- (701) 530-5805
- NPI assigned
- Jul 7, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4129 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Pharmacy Gateway Mall Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4129 | ND | Yes |
Addresses
Primary practice location
2700 State St Ste F13
Bismarck, ND 58503-0674
Mailing address
2700 State St Ste F13
Bismarck, ND 58503-0674
Phone (701) 530-5800
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.