Individual provider Active NPI

Andrew R Gaspar, RPH

  • Pharmacist
  • Gilbert, AZ
National Provider Identifier
1487709770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S11491 Issued in AZ
Practice address
90 S Val Vista Dr
Gilbert, AZ 85296-1376
Phone
(480) 892-2090
Fax
(480) 892-7641
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S11491 AZ Primary

Addresses

Primary practice location

90 S Val Vista Dr
Gilbert, AZ 85296-1376

Mailing address

2103 S Nielson St
Gilbert, AZ 85296-5428
Phone (480) 855-6639

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
S11491AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487709770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 S NIELSON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852965428",
            "telephone_number": "480-855-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S VAL VISTA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961376",
            "telephone_number": "480-892-2090",
            "fax_number": "480-892-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPAR",
        "first_name": "ANDREW",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S11491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.