Active NPI
Christopher James Gautreaux, PHARMD
- Pharmacist
- Fort Myers Beach, FL
National Provider Identifier
1134498355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43233
- Practice address
- 17065 Pine Ridge Rd
Fort Myers Beach, FL 33931-5302 - Phone
- (239) 432-2690
- NPI assigned
- Dec 16, 2011
- Sex
- Male
- 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 | PS43233 | FL | Primary |
Addresses
Primary practice location
17065 Pine Ridge Rd
Fort Myers Beach, FL 33931-5302
Mailing address
16615 Lake Circle Dr
#414
Fort Myers, FL 33908-5728
Phone (239) 233-1062
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS43233 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1323993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1134498355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16615 LAKE CIRCLE DR",
"address_2": "#414",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339085728",
"telephone_number": "239-233-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17065 PINE RIDGE RD",
"city": "FORT MYERS BEACH",
"state": "FL",
"postal_code": "339315302",
"telephone_number": "239-432-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTREAUX",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-16",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers Beach, FL
- FMB Medical Center (Estero Island Medical Center)
- FMB Medical LLC (Estero Island Medical Care)
- Freya Health LLC (Estero Island Medical Care)
- Ft Myers Beach Fire Control Dist
- Ariadna Galano
- Tina Marie Gelpi, OTD, OTR/L
- Yoandra M Gomez Uncu
- Heidi Leigh Hammil, PT
- Celeste Harger
- Kerri-Ann Thomas Hart, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.