Active NPI
Courtney E Gullo, RPH
- Pharmacist
- Dunkirk, NY
National Provider Identifier
1073836144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I043734
- Practice address
- 175 E 4TH St
Dunkirk, NY 14048-2217 - Phone
- (716) 366-6431
- NPI assigned
- Mar 3, 2010
- Sex
- Female
- 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 | I043734 | NY | Primary |
Addresses
Primary practice location
175 E 4TH St
Dunkirk, NY 14048-2217
Mailing address
248 Water St
Fredonia, NY 14063-2025
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I043734 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Dunkirk, NY
- NPI 1558465211
-
- Pharmacy
- Brooklyn, RI
- NPI 1679459481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1073836144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 WATER ST",
"city": "FREDONIA",
"state": "NY",
"postal_code": "140632025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 E 4TH ST",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482217",
"telephone_number": "716-366-6431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLO",
"first_name": "COURTNEY",
"middle_name": "E",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-03",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I043734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.