Phil Gage, BS

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH2405 Issued in FL

Practice address

3842 W Newberry Rd Ste 1G
Gainesville, FL 32607-4833

Phone

(352) 373-3547

Fax

(352) 373-1532

NPI assigned

Oct 22, 2014

Last updated

Jan 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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.

• Wise's Parkwood

  • Community/Retail Pharmacy
  • Gainesville, FL
  • NPI 1366583817
  NPD Authorized official

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1174927966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3842 W NEWBERRY RD STE 1G",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074833",
            "telephone_number": "352-373-3547",
            "fax_number": "352-373-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3842 W NEWBERRY RD STE 1G",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074833",
            "telephone_number": "352-373-3547",
            "fax_number": "352-373-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "PHIL",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-22",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS11104",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH2405",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jacob George Gaetanos, MD
• Kathleen Gaffey
• Jessica Gage, APRN
• Gail's Gentle Care Service LLC
• Jennifer Gailey, PHARM D
• Gaines Plastic Surgery PLLC
• Gregory Cyrus Gaines, M.D.
• Karen M Gaines, DDS, MSD

• Community/Retail Pharmacy in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.