As Gordon Enterprise LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AS GORDON ENTERPRISE LLC

Practice address

102 Center St
Grayslake, IL 60030-1533

Phone

(904) 477-3853

NPI assigned

May 2, 2022

Last updated

May 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Averill Gordon, PHARMDNPI 1164419305

Title

Owner/ President

Phone

(904) 477-3853

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Averill D Gordon, PHARM.D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Waukegan, IL
  • NPI 1164419305
  NPD Authorized official

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1336884659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 CHESTERFIELD LN",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303797",
            "telephone_number": "904-477-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CENTER ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301533",
            "telephone_number": "904-477-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AS GORDON ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "AVERILL",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "904-477-3853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Lucia Aristizabal
• Stephanie Armanetti, LCSW
• Arnold Family Chiropractic
• Lura J Arnold, D.C.
• Graciela Arroyo, LPC
• Athletico LTD (Athletico Sports Medicine and Physical Therapy)
• Atkinson Chiropractic and Acupuncture SC
• Atkinson Clinic SC
• Justin E Atkinson, D.C.
• Allison Augsburger, RDN, LDN, CLT

• Clinic/Center in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.