Individual provider Active NPI

Gabe Mathew Barnes, PHARMD

  • Pharmacist
  • Green Bay, WI
National Provider Identifier
1851999726
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15736 Issued in WI
Practice address
2292 Main St
Green Bay, WI 54311-5199
Phone
(920) 639-8105
NPI assigned
Oct 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15736 WI Primary

Addresses

Primary practice location

2292 Main St
Green Bay, WI 54311-5199

Mailing address

2292 Main St
Green Bay, WI 54311-5199
Phone (920) 465-7737

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Gmbarne.s01908.us@wal-mart.com Direct

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
15736WIMDPharmacist

Interoperability endpoints

  • Direct secure messaging: gmbarne.s01908.us@wal-mart.com

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1851999726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2292 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115199",
            "telephone_number": "920-465-7737",
            "fax_number": "920-465-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115199",
            "telephone_number": "920-639-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "GABE",
        "middle_name": "MATHEW",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gmbarne.s01908.us@wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "Email work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health",
            "address_1": "2292 Main St",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543115199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.