Individual provider Active NPI

Gary Bryce Whitson II, PHARMD, MSIA

  • Pharmacist
  • New Albany, IN
National Provider Identifier
1831483049
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26023672A Issued in IN
Practice address
2209 State St
T-0139
New Albany, IN 47150-4924
Phone
(812) 945-4768
Fax
(812) 945-4768
NPI assigned
Jun 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 015060 KY
Pharmacist 183500000X 26023672A IN Primary

Addresses

Primary practice location

2209 State St
T-0139
New Albany, IN 47150-4924

Mailing address

2209 State St
T-0139
New Albany, IN 47150-4924
Phone (812) 945-4768

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

LicenseStateTypeSpecialty
26023672AINMDPharmacist
015060KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1831483049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 STATE ST",
            "address_2": "T-0139",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504924",
            "telephone_number": "812-945-4768",
            "fax_number": "812-945-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 STATE ST",
            "address_2": "T-0139",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504924",
            "telephone_number": "812-945-4768",
            "fax_number": "812-945-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITSON",
        "first_name": "GARY",
        "middle_name": "BRYCE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHARMD, MSIA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "015060",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26023672A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.