Individual provider Active NPI

Jason Carl Gause, PHARMD

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1194066837
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS 49200 Issued in FL
Practice address
10335 Cross Creek Blvd
Suite E
Tampa, FL 33647-2795
Phone
(813) 973-2145
NPI assigned
Mar 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS 49200 FL Primary

Addresses

Primary practice location

10335 Cross Creek Blvd
Suite E
Tampa, FL 33647-2795

Mailing address

1912 Crosstown Carriage Way
#203
Tampa, FL 33619-7051
Phone (813) 598-2574

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

LicenseStateTypeSpecialty
PS 49200FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1194066837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 CROSSTOWN CARRIAGE WAY",
            "address_2": "#203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197051",
            "telephone_number": "813-598-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10335 CROSS CREEK BLVD",
            "address_2": "SUITE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472795",
            "telephone_number": "813-973-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSE",
        "first_name": "JASON",
        "middle_name": "CARL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 49200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.