Active NPI
Nicholas Andrew Gillespie, PHARMD.
- Community/Retail Pharmacy
- Dothan, AL
National Provider Identifier
1780178640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 19947
- Practice address
- 3300 S Oates St
Dothan, AL 36301-5694 - Phone
- (334) 702-0840
- Fax
- (334) 702-0580
- NPI assigned
- Jun 14, 2018
- 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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 19947 | AL | Primary |
Addresses
Primary practice location
3300 S Oates St
Dothan, AL 36301-5694
Mailing address
125 Mountainview Dr
Montgomery, AL 36109-4107
Phone (334) 221-9193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19947 | Other | AL | ALABAMA STATE BOARD OF PHARMACY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1780178640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 MOUNTAINVIEW DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361094107",
"telephone_number": "334-221-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 S OATES ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363015694",
"telephone_number": "334-702-0840",
"fax_number": "334-702-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "NICHOLAS",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-14",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "19947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA STATE BOARD OF PHARMACY",
"identifier": "19947",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.