Active NPI
Gretel Marie Gautier-Rivera, RPH
- Pharmacist
- Dover, NJ
National Provider Identifier
1386966612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03296200
- Practice address
- 18 W Blackwell St
Dover, NJ 07801-3841 - Phone
- (973) 328-9100
- NPI assigned
- Mar 1, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4016 | PR | |
| Pharmacist | 183500000X | 28RI03296200 | NJ | Primary |
Addresses
Primary practice location
18 W Blackwell St
Dover, NJ 07801-3841
Mailing address
118 Fairview Dr S
Basking Ridge, NJ 07920-2328
Phone (908) 766-2071
Other practice location 1
121 Algonquin Pkwy
Whippany, NJ 07981-1601
Phone (973) 503-1500
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 |
|---|---|---|---|
| 28RI03296200 | NJ | MD | Pharmacist |
| 4016 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zufall Health Center,Inc | Past | Accepting new patients | |
| Omnicare of New York, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Clinic/Center
- Dover, NJ
- NPI 1902990880
-
dba Omnicare of Rochester #48314
- Long Term Care Pharmacy
- Rochester, NY
- NPI 1811009335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1386966612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 FAIRVIEW DR S",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079202328",
"telephone_number": "908-766-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 W BLACKWELL ST",
"city": "DOVER",
"state": "NJ",
"postal_code": "078013841",
"telephone_number": "973-328-9100"
}
],
"practiceLocations": [
{
"address_1": "121 Algonquin Pkwy",
"address_purpose": "LOCATION",
"city": "Whippany",
"state": "NJ",
"postal_code": "079811601",
"country_code": "US",
"telephone_number": "973-503-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAUTIER-RIVERA",
"first_name": "GRETEL",
"middle_name": "MARIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4016",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03296200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.