Individual provider Active NPI

Robert M Gebhards, PHARMD

  • Pharmacist
  • Pueblo, CO
National Provider Identifier
1982926846
Registry record updated Mar 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16896 Issued in CO
Practice address
1728 S Prairie Ave
Pueblo, CO 81005-2253
Phone
(719) 564-0220
NPI assigned
Feb 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16896 CO Primary

Addresses

Primary practice location

1728 S Prairie Ave
Pueblo, CO 81005-2253

Mailing address

6499 Farthing Dr
Colorado Springs, CO 80906-7502
Phone (719) 564-0220

Other identifiers 1

IdentifierTypeStateIssuer
16896OtherCOSTATE LICENSE NUMBER

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
16896COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Strength Giver Pharmacy LLC CurrentSince Mar 19, 2023 Accepting new patients
Prescription Shop LLC PastSince Mar 19, 2023 Accepting new patients
Prescription Shop LLC PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1982926846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6499 FARTHING DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067502",
            "telephone_number": "719-564-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 S PRAIRIE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052253",
            "telephone_number": "719-564-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARDS",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-19",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "16896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "16896",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2023; 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.