Individual provider Active NPI

Gianluca Gullo, PHARMACIST

  • Geriatric Pharmacist
  • Riverview, FL
National Provider Identifier
1306475769
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
PS60222 Issued in AL
Practice address
6463 S Falkenburg Rd
Riverview, FL 33578-8696
Phone
(833) 796-1527
NPI assigned
Apr 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X PS60222 AL Primary

Addresses

Primary practice location

6463 S Falkenburg Rd
Riverview, FL 33578-8696

Mailing address

1614 Shady Leaf Dr
Valrico, FL 33596-6154

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ZXcx

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

LicenseStateTypeSpecialty
PS60222ALMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Remedi Seniorcare of Tampa, LLC PastSince Apr 17, 2020 Accepting new patients

Organizations & group practices 1

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1306475769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 SHADY LEAF DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6463 S FALKENBURG RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788696",
            "telephone_number": "833-796-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLO",
        "first_name": "GIANLUCA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "AL",
            "license": "PS60222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ZXcx",
            "affiliation": "N",
            "address_1": "1614 Shady Leaf Dr",
            "city": "Valrico",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335966154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.