Active NPI
Jordan Gipe
- Pharmacist
- Martinsville, IN
National Provider Identifier
1306446778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26026065A
- Practice address
- 410 Grand Valley Blvd
Martinsville, IN 46151-6123 - Phone
- (765) 349-1138
- NPI assigned
- Oct 27, 2020
- Last updated
- Oct 27, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26026065A | IN | Primary |
Addresses
Primary practice location
410 Grand Valley Blvd
Martinsville, IN 46151-6123
Mailing address
9727 Dale LN
Mooresville, IN 46158-9500
Phone (812) 276-3431
Other practice location 1
9727 Dale Ln
Mooresville, IN 46158-9500
Phone (812) 276-3431
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26026065A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1306446778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9727 DALE LN",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461589500",
"telephone_number": "812-276-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 GRAND VALLEY BLVD",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461516123",
"telephone_number": "765-349-1138"
}
],
"practiceLocations": [
{
"address_1": "9727 Dale Ln",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "IN",
"postal_code": "461589500",
"country_code": "US",
"telephone_number": "812-276-3431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIPE",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26026065A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.