Individual provider Active NPI

Jenna Marie Gerchak, PHARMD

  • Pharmacist
  • Seven Fields, PA
National Provider Identifier
1255459749
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP440992 Issued in PA
Practice address
Eckerd Pharmacy 6477
100 Seven Fields Blvd
Seven Fields, PA 16046
Phone
(724) 742-0909
NPI assigned
Mar 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP440992 PA Primary

Addresses

Primary practice location

Eckerd Pharmacy 6477
100 Seven Fields Blvd
Seven Fields, PA 16046

Mailing address

154 Southern Valley Court
Mars, PA 16046-9326
Phone (724) 553-5337

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
RP440992PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255459749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 SOUTHERN VALLEY COURT",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160469326",
            "telephone_number": "724-553-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ECKERD PHARMACY 6477",
            "address_2": "100 SEVEN FIELDS BLVD",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "16046",
            "telephone_number": "724-742-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERCHAK",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Fields, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.