Individual provider Active NPI

Mary Gerges, RPH

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1437739844
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS61626 Issued in FL
Practice address
7543 W Waters Ave
Tampa, FL 33615-1511
Phone
(813) 886-2800
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS61626 FL Primary
Pharmacist 183500000X 28RI04081100 NJ

Addresses

Primary practice location

7543 W Waters Ave
Tampa, FL 33615-1511

Mailing address

933 Arlington Ave N
Saint Petersburg, FL 33705-1559
Phone (732) 599-2696

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

LicenseStateTypeSpecialty
PS61626FLMDPharmacist
28RI04081100NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tradeline SH Inc CurrentSince Apr 11, 2021 Accepting new patients
Tradeline SH Inc CurrentSince Feb 13, 2022 Accepting new patients

Locations

7543 W Waters Ave
Tampa, FL 33615
Phone (813) 886-2800

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.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1437739844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 ARLINGTON AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337051559",
            "telephone_number": "732-599-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7543 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151511",
            "telephone_number": "813-886-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGES",
        "first_name": "MARY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61626",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04081100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.