Active NPI
Kelly Gadomski, RPH
- Pharmacist
- Syracuse, NY
National Provider Identifier
1073845913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048714
- Practice address
- 922 Spencer St
Syracuse, NY 13204 - Phone
- (315) 492-1964
- Fax
- (315) 469-9744
- NPI assigned
- Feb 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 | 048714 | NY | Primary |
Addresses
Primary practice location
922 Spencer St
Syracuse, NY 13204
Mailing address
922 Spencer St
Syracuse, NY 13204-1137
Phone (315) 492-1964
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 |
|---|---|---|---|
| 048714 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1073845913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 SPENCER ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132041137",
"telephone_number": "315-492-1964",
"fax_number": "315-469-9744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 SPENCER ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13204",
"telephone_number": "315-492-1964",
"fax_number": "315-469-9744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADOMSKI",
"first_name": "KELLY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.