Active NPI
Linda Lou Gertz, R.PH.
- Pharmacist
- Chardon, OH
National Provider Identifier
1356665665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03215161
- Practice address
- 10015 Bascom Rd
Chardon, OH 44024-9193 - Phone
- (440) 285-4983
- NPI assigned
- Mar 16, 2010
- Last updated
- Mar 16, 2010
- Sex
- Female
- 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 | 03215161 | OH | Primary |
Addresses
Primary practice location
10015 Bascom Rd
Chardon, OH 44024-9193
Mailing address
10015 Bascom Rd
Chardon, OH 44024-9193
Phone (440) 285-4983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03215161 | Other | OH | PHARMACIST |
Other names 1
- Mrs. Linda Lou Pulley
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03215161 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1356665665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10015 BASCOM RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440249193",
"telephone_number": "440-285-4983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10015 BASCOM RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440249193",
"telephone_number": "440-285-4983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERTZ",
"first_name": "LINDA",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-16",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03215161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "03215161",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "PULLEY",
"middle_name": "LOU",
"prefix": "MRS.",
"credential": "R.PH.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.