Healthcare Provider Details

I. General information

NPI: 1790604163
Provider Name (Legal Business Name): ALEXANDER GILMER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 4TH ST
SAN FRANCISCO CA
94143-2351
US

IV. Provider business mailing address

221 24TH AVE APT 103
SAN FRANCISCO CA
94121-1201
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-2105
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number80883
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: