Jacqueline Gorman, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

13887 Issued in SC

Practice address

5015 Weddington Rd
Concord, NC 28027-9034

Phone

(704) 795-7148

NPI assigned

Oct 17, 2012

Last updated

Oct 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Publix North Carolina LP

  dba Publix Pharmacy #1490

  • Community/Retail Pharmacy
  • Concord, NC
  • NPI 1174994925
  NPD
• Publix North Carolina, LP

  dba Publix Pharmacy #1824

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1578360525
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1073866943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 WEDDINGTON RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279034",
            "telephone_number": "704-795-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 WEDDINGTON RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279034",
            "telephone_number": "704-795-7148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Applewood Center Pl",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296780917",
            "country_code": "US",
            "telephone_number": "781-308-9139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "13887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Renee Gordon, FNP
• Chelsea Suzanne Gordon, MA, BCBA, LBA
• Lateciara Gordon
• Misty S Gordon, M.A.
• Daniel Gorman, PT
• Rebecca Joy Gossage, MFA
• Anne-Marie Elizabeth Gough, LCSWA
• Grace Medical Clinics P.a.
• Grace-N-Mercy for 'U'
• Graceful Home Care LLC

• Pharmacist in Concord, NC
• Providers in Concord, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.