Active NPI
Zachgary Paul Gordon, PHARMD
- Pharmacist
- Cuyahoga Falls, OH
National Provider Identifier
1447853353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03338057
- Practice address
- 641 Graham Rd
Cuyahoga Falls, OH 44221-1048 - Phone
- (330) 922-1298
- Fax
- (330) 922-1441
- NPI assigned
- Nov 21, 2020
- 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 | 03338057 | OH | Primary |
Addresses
Primary practice location
641 Graham Rd
Cuyahoga Falls, OH 44221-1048
Mailing address
9616 W Pleasant Valley Rd
Parma, OH 44130-6003
Phone (330) 323-3588
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03338057 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients | |
| Ohio CVS Stores 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605916800000",
"number": "1447853353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9616 W PLEASANT VALLEY RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441306003",
"telephone_number": "330-323-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 GRAHAM RD",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442211048",
"telephone_number": "330-922-1298",
"fax_number": "330-922-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ZACHGARY",
"middle_name": "PAUL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-21",
"last_updated": "2020-11-21",
"certification_date": "2020-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03338057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.