Individual provider Active NPI

Edward Valentine Gauss, RPH.

  • Pharmacist
  • Merrick, NY
National Provider Identifier
1124296330
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
032185 Issued in NY
Practice address
1686 Merrick Rd
Merrick, NY 11566-4538
Phone
(516) 378-9423
NPI assigned
Feb 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 032185 NY Primary

Addresses

Primary practice location

1686 Merrick Rd
Merrick, NY 11566-4538

Mailing address

625 Harvard Ave
North Baldwin, NY 11510-2636
Phone (516) 379-0122

Other identifiers 1

IdentifierTypeStateIssuer
032185OtherNYNY STATE LICENSE NUMBER

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waldbaum Inc Past Accepting new patients
Waldbaum Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1124296330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HARVARD AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102636",
            "telephone_number": "516-379-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664538",
            "telephone_number": "516-378-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSS",
        "first_name": "EDWARD",
        "middle_name": "VALENTINE",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "032185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE NUMBER",
            "identifier": "032185",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.