Active NPI
Julia Gurevich, PHARMD
- Pharmacist
- Gauley Bridge, WV
National Provider Identifier
1366049157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0011048
- Practice address
- Route 60 East
Gauley Bridge, WV 25085 - Phone
- (304) 632-2217
- NPI assigned
- Oct 5, 2020
- Last updated
- Oct 5, 2020
- Sex
- Female
- Sole proprietor
- No
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 | RP0011048 | WV | Primary |
Addresses
Primary practice location
Route 60 East
Gauley Bridge, WV 25085
Mailing address
Route 60 East Box 847
Gauley Bridge, WV 25085
Phone (304) 632-2217
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0011048 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia CVS Pharmacy LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1366049157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ROUTE 60 EAST BOX 847",
"city": "GAULEY BRIDGE",
"state": "WV",
"postal_code": "25085",
"telephone_number": "304-632-2217",
"fax_number": "304-632-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROUTE 60 EAST",
"city": "GAULEY BRIDGE",
"state": "WV",
"postal_code": "25085",
"telephone_number": "304-632-2217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUREVICH",
"first_name": "JULIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2020-10-05",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0011048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gauley Bridge, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.