Active NPI
Brian Wayne Gilbert
- Pharmacist
- Charleston, IL
National Provider Identifier
1992305676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051286635
- Practice address
- 2250 Lincoln Ave
Charleston, IL 61920-3028 - Phone
- (217) 945-9458
- NPI assigned
- Oct 30, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051286635 | IL | Primary |
Addresses
Primary practice location
2250 Lincoln Ave
Charleston, IL 61920-3028
Mailing address
503 E Lincoln Ave
Altamont, IL 62411-1258
Phone (314) 620-0910
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051286635 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1992305676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 E LINCOLN AVE",
"city": "ALTAMONT",
"state": "IL",
"postal_code": "624111258",
"telephone_number": "314-620-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 LINCOLN AVE",
"city": "CHARLESTON",
"state": "IL",
"postal_code": "619203028",
"telephone_number": "217-945-9458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "BRIAN",
"middle_name": "WAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051286635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.