Gerald K Steed, R.PH.
Individual provider Active NPI Pharmacist · Rexbury, ID
NPI 1972805331 · NPPES record last updated Nov 17, 2010
Key facts
- NPI
- 1972805331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1243 (AK)
- Practice address
- 596 Eaglewood Dr
Rexbury, ID 83440 - Phone
- (208) 656-0156
- NPI assigned
- Nov 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 1243 | AK | MD | Pharmacist |
| P4248 | ID | MD | Pharmacist |
| 4963 | MT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1243 | AK | Yes |
| Pharmacist | 183500000X | P4248 | ID | |
| Pharmacist | 183500000X | 4963 | MT |
Addresses
Primary practice location
596 Eaglewood Dr
Rexbury, ID 83440
Mailing address
596 Eaglewood Dr
Rexburg, ID 83440
Phone (208) 656-0156
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2010. 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.