Individual provider Active NPI

Thomas Reda Gawrgus, RPH

  • Pharmacist
  • Jersey City, NJ
National Provider Identifier
1225616832
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03563000 Issued in NJ
Practice address
455 W Side Ave
Jersey City, NJ 07304-1425
Phone
(201) 360-3233
Fax
(201) 360-3361
NPI assigned
Apr 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03563000 NJ Primary

Addresses

Primary practice location

455 W Side Ave
Jersey City, NJ 07304-1425

Mailing address

521 Bergen Ave
Jersey City, NJ 07304-2506
Phone (201) 721-5475

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

LicenseStateTypeSpecialty
28RI03563000NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Pharmacy LLC CurrentSince Apr 6, 2021 Accepting new patients
Communipaw Pharmacy LLC CurrentSince May 25, 2025 Accepting new patients

Locations

455 W Side Ave
Jersey City, NJ 07304
Phone (201) 360-3233

521 Bergen Ave
Jersey City, NJ 07304
Phone (201) 721-5475

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": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1225616832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042506",
            "telephone_number": "201-721-5475",
            "fax_number": "201-721-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W SIDE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041425",
            "telephone_number": "201-360-3233",
            "fax_number": "201-360-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWRGUS",
        "first_name": "THOMAS",
        "middle_name": "REDA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03563000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.