Active NPI
Jay Gawler
- Pharmacist
- Vero Beach, FL
National Provider Identifier
1366780769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS14756
- Practice address
- 4145 9TH St SW
Vero Beach, FL 32968-4804 - Phone
- (772) 299-6245
- Fax
- (772) 299-6270
- NPI assigned
- Jan 21, 2013
- 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 | PS14756 | FL | Primary |
Addresses
Primary practice location
4145 9TH St SW
Vero Beach, FL 32968-4804
Mailing address
4145 9TH St SW
Vero Beach, FL 32968-4804
Phone (772) 299-6245
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS0014756 | Other | FL | LICENSE NO |
| PS14756 | Other | NJ | LICRNSE NO |
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 |
|---|---|---|---|
| PS14756 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Publix Pharmacy #0898
- Community/Retail Pharmacy
- Vero Beach, FL
- NPI 1427098896
-
dba Publix Pharmacy #2107
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358726400000",
"number": "1366780769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 9TH ST SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329684804",
"telephone_number": "772-299-6245",
"fax_number": "772-299-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4145 9TH ST SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329684804",
"telephone_number": "772-299-6245",
"fax_number": "772-299-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWLER",
"first_name": "JAY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-21",
"last_updated": "2013-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS14756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO",
"identifier": "PS0014756",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICRNSE NO",
"identifier": "PS14756",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.