Active NPI
Gary Adolph Sorensen
- Pharmacist
- Gloversville, NY
National Provider Identifier
1427332410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 026873
- Practice address
- 222 5TH Ave. Ext
Gloversville, NY 12078-1820 - Phone
- (518) 773-8449
- Fax
- (518) 773-8464
- NPI assigned
- Oct 7, 2011
- Last updated
- Oct 7, 2011
- Sex
- Male
- 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 | 026873 | NY | Primary |
Addresses
Primary practice location
222 5TH Ave. Ext
Gloversville, NY 12078-1820
Mailing address
222 5TH Ave. Ext.
Gloversville, NY 12078-1820
Phone (518) 773-8449
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 |
|---|---|---|---|
| 026873 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1427332410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 5TH AVE. EXT.",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120781820",
"telephone_number": "518-773-8449",
"fax_number": "518-773-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 5TH AVE. EXT",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120781820",
"telephone_number": "518-773-8449",
"fax_number": "518-773-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "GARY",
"middle_name": "ADOLPH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-07",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "026873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.