Provider Demographics
NPI:1780979518
Name:GERSTNER, JEFFREY J (RPH)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:J
Last Name:GERSTNER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4061 INDIAN CREEK PARKWAY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-4030
Mailing Address - Country:US
Mailing Address - Phone:913-323-4777
Mailing Address - Fax:913-323-4778
Practice Address - Street 1:4061 INDIAN CREEK PARKWAY
Practice Address - Street 2:SUITE 120
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-4030
Practice Address - Country:US
Practice Address - Phone:913-323-4777
Practice Address - Fax:913-323-4778
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-11428183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist