Active NPI
John Gauthier
- Pharmacist
- Kearney, NE
National Provider Identifier
1245982164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8799
- Practice address
- 3920 2ND Ave
Kearney, NE 68847-2485 - Phone
- (308) 234-6086
- Fax
- (308) 234-6507
- NPI assigned
- Jan 21, 2022
- Last updated
- Jan 21, 2022
- 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 | 8799 | NE | Primary |
Addresses
Primary practice location
3920 2ND Ave
Kearney, NE 68847-2485
Mailing address
4612 N Regency PL
Kearney, NE 68847-8358
Phone (308) 234-6086
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | #FS1174147 | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nash-Finch LLC | Past | Accepting new patients | |
| Nash-Finch LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family Fresh Market Pharmacy
- Community/Retail Pharmacy
- Kearney, NE
- NPI 1831341544
-
dba Family Fare Pharmacy 3348
- Community/Retail Pharmacy
- Cannon Falls, MN
- NPI 1811287808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1245982164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4612 N REGENCY PL",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688478358",
"telephone_number": "308-234-6086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 2ND AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688472485",
"telephone_number": "308-234-6086",
"fax_number": "308-234-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTHIER",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "8799",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "#FS1174147",
"affiliation": "N",
"endpointDescription": "#DEA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4612 N Regency Pl",
"city": "Kearney",
"state": "NE",
"country_code": "US",
"postal_code": "688478358",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.