Active NPI
Gary Allen Bartee, RPH.,PHARM D
- Pharmacist
- Siletz, OR
National Provider Identifier
1275894610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0011137
- Practice address
- 200 Gwee Shut Rd
Siletz, OR 97380-2036 - Phone
- (541) 444-1030
- NPI assigned
- Jun 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0011137 | OR | Primary |
| Pharmacist | 183500000X | 43085 | CA |
Addresses
Primary practice location
200 Gwee Shut Rd
Siletz, OR 97380-2036
Mailing address
517 Avalon CT NE
Albany, OR 97322-4593
Phone (541) 979-0772
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43085 | CA | MD | Pharmacist |
| 0011137 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1275894610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 AVALON CT NE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973224593",
"telephone_number": "541-979-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GWEE SHUT RD",
"city": "SILETZ",
"state": "OR",
"postal_code": "973802036",
"telephone_number": "541-444-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTEE",
"first_name": "GARY",
"middle_name": "ALLEN",
"credential": "RPH.,PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-01",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0011137",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "43085",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Siletz, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.