GREGORY W GOSSMAN (NPI# 1356640049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356640049 |
| Entity Type | Individual |
| Full Name | GREGORY W GOSSMAN |
| Credential | PHARM. D. |
| Practice Address |
3921 Hwy 377 South Fort Worth TX 76116 |
| Practice Telephone | 8177382135 |
| Practice Fax Number | 8177638784 |
| Mailing Telephone | 8177382135 |
| Mailing Fax Number | 8177638784 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1817 | WY | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
31364 | TX | Pharmacy Service Providers |
| Street Address |
3921 HWY 377 SOUTH |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598196446 | Cheryl Dawn Jorgenson | Pharmacist | 401 South Jim Wright Freeway, Suite 102, Fort Worth, TX 76108 | 2013-12-03 |
| 1669810586 | Ralph Winston Jr. | Pharmacist | 3513 Welsh Ct, Fort Worth, TX 76244-9473 | 2013-06-13 |
| 1528667961 | Jae Ki Lee | Pharmacist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2020-10-17 |
| 1053919555 | Chad Weissinger | Pharmacist | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2020-10-15 |
| 1104437466 | Coy Johnson | Pharmacist | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2020-08-11 |
| 1053929901 | Brenton C Hall | Pharmacist | 1500 S Main St, Fort Worth, TX 76104-4941 | 2020-07-16 |
| 1033733936 | Kevin Guilbeau | Pharmacist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2020-06-05 |
| 1699306282 | Phung Trinh | Pharmacist | 9114 Camp Bowie West Blvd, Fort Worth, TX 76116-6023 | 2020-01-31 |
| 1215567961 | Christopher Lowe | Pharmacist | 3510 Altamesa Blvd, Fort Worth, TX 76133-5602 | 2020-01-22 |
| 1821628769 | Tausha Reeves | Pharmacist | 4750 W Bailey Boswell Rd, Fort Worth, TX 76179-4321 | 2020-01-20 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76116 |
Please comment or provide details below to improve the information on GREGORY W GOSSMAN.
| 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.