Active NPI
Joseph Peder Gornick, RPH
- Pharmacist
- The Woodlands, TX
National Provider Identifier
1164737821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36776
- Practice address
- 9595 Six Pines Dr
The Woodlands, TX 77380-1531 - Phone
- (281) 292-3962
- Fax
- (281) 292-6956
- NPI assigned
- Aug 18, 2010
- 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 | 36776 | TX | Primary |
Addresses
Primary practice location
9595 Six Pines Dr
The Woodlands, TX 77380-1531
Mailing address
6522 Rustling Timbers LN
Spring, TX 77379-5024
Phone (713) 870-7887
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 |
|---|---|---|---|
| 36776 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1164737821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6522 RUSTLING TIMBERS LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773795024",
"telephone_number": "713-870-7887",
"fax_number": "281-292-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9595 SIX PINES DR",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773801531",
"telephone_number": "281-292-3962",
"fax_number": "281-292-6956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORNICK",
"first_name": "JOSEPH",
"middle_name": "PEDER",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "36776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.