Gabriel Ouellette, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03652900 Issued in NJ

Practice address

27 S Cooks Bridge Rd Ste M1
Jackson, NJ 08527-2443

Phone

(732) 994-7387

NPI assigned

Nov 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Jackson Village Pharmacy LLC

  • Community/Retail Pharmacy
  • Jackson, NJ
  • NPI 1477955037
  NPD Authorized official
• Jackson Village Pharmacy LLC

  • Long Term Care Pharmacy
  • Jackson, NJ
  • NPI 1598525115
  NPD (past) Authorized official
• Ranch Health Edison LLC

  • Long Term Care Pharmacy
  • Edison, NJ
  • NPI 1093575458
  NPD
• Ranch Health Edison LLC

  • Community/Retail Pharmacy
  • Edison, NJ
  • NPI 1962270256
  NPD

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1386247104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 S COOKS BRIDGE RD STE M1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272443",
            "telephone_number": "732-994-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S COOKS BRIDGE RD STE M1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272443",
            "telephone_number": "732-994-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03652900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE LICENSE",
            "identifier": "28RI03652900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthotic Prosthetic Associates, Inc.
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• Rebecca Osidach, BCBA
• Nathan James Ostler, D.D.S.
• Jacqueline Louise Ostrander, CCC-SLP
• Kate Packer
• Jennifer Padilla, BCBA
• Lauren H Parkes, D.O.
• Gina Parrotta
• Aalap Patel

• Pharmacist in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.