MR. MICKEY WAYNE GERSTMAN (NPI# 1083907489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083907489 |
| Entity Type | Individual |
| Full Name | MR. MICKEY WAYNE GERSTMAN |
| Credential | R.PH. |
| Practice Address |
1261 Military St S Hamilton AL 35570-5004 |
| Practice Telephone | 2059217465 |
| Practice Fax Number | 2059217896 |
| Mailing Telephone | 2059217465 |
| Mailing Fax Number | 2059217896 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7556 | AL | Pharmacy Service Providers |
| Street Address |
1261 MILITARY ST S |
| City | HAMILTON |
| State | AL |
| Zip Code | 35570-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952843799 | Bethany Gray | Physical Therapist | 1261 Military St S, Hamilton, AL 35570-5004 | 2016-11-10 |
| 1912389982 | Encore Rehabilitation, Inc. | Clinic/Center | 1261 Military St S, Hamilton, AL 35570-5004 | 2015-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765940 | Hamilton Pharmacy, LLC | Pharmacy | 1508 Military Street S, Hamilton, AL 35570 | 2017-05-01 |
| 1962673251 | Detra Cale-ellis | Chiropractor | 595 Bexar Ave W, Hamilton, AL 35570 | 2008-03-14 |
| 1922295625 | Center for Cosmetic Dentistry and Orthodontics | Dentist | 571 Bexar Ave W, Hamilton, AL 35570 | 2007-09-27 |
| 1891916680 | Stephen G Sanders | Specialist | 1256 Military Street South, Hamilton, AL 35570 | 2007-05-01 |
| 1235288226 | Martha Gail Southern | Nurse Practitioner | 2448 Military St South, Hamilton, AL 35570 | 2007-01-09 |
| 1750458550 | Marion County Treatment Center | Clinic/Center | 1879 Military St South, Hamilton, AL 35570 | 2006-11-29 |
| 1225100746 | Clark's Discount Pharmacy | Pharmacy | 1261 Military Street South, Hamilton, AL 35570 | 2006-11-14 |
| 1265515472 | Stephen Erskine Bolt | Dentist | 1760 Military Highway So, Dr Dale E Bolt, Hamilton, AL 35570 | 2006-10-23 |
| 1720161201 | State of Alabama Department of Public Health | Home Health | 2448 Military Street South, Hamilton, AL 35570 | 2006-10-20 |
| 1588759088 | Bryan D Serena | Chiropractor | 1925 Military St S., Hamilton, AL 35570 | 2006-10-03 |
| Find all providers in zip 35570 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104391911 | Grace Atadero | Pharmacist | 258 East 37th Street, Hamilton, ONTARIO L8V 4B3 | 2018-10-08 |
| 1033626783 | Matthew Willoughby | Pharmacist | 7655 Shadow Creek Dr, Hamilton, OH 45011-6517 | 2018-01-03 |
| 1699226035 | Eunchan Lee | Pharmacist | 1205 Klockner Rd Apt 37, Hamilton, NJ 08619-3619 | 2016-10-20 |
| 1740642149 | Katherine Grace Messer | Pharmacist | 704 S 3rd St, Hamilton, MT 59840 | 2016-03-24 |
| 1033575717 | David Hamilton Cleveland | Pharmacist | 105 E Henry St, Hamilton, TX 76531-1909 | 2016-01-11 |
| 1942692231 | Lori Shinton | Pharmacist | 5420 Libery Fairfield Rd, Hamilton, OH 45011-2680 | 2015-02-24 |
| 1821480120 | Jennifer Heeg | Pharmacist | 1474 Hamilton Richmond Rd, Hamilton, OH 45013-1074 | 2015-02-23 |
| 1760881809 | Kelli Ann Smith | Pharmacist | 4122 Autumn Crest Dr, Hamilton, MI 49419-9119 | 2014-08-14 |
| 1003232984 | Robert Joseph Baars | Pharmacist | 1235 N 1st St, Hamilton, MT 59840-3102 | 2014-03-14 |
| 1942630280 | Jill Hood | Pharmacist | 5486 Edisto Dr, Hamilton, OH 45011-4379 | 2013-11-23 |
| Find all providers in HAMILTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.