Active NPI
Jerri Ann Gates, PHARM.D
- Pharmacist
- West Palm Beach, FL
National Provider Identifier
1497037485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS37464
- Practice address
- 4560 Okeechobee Blvd
West Palm Beach, FL 33417-4622 - Phone
- (561) 615-6818
- Fax
- (561) 615-0624
- NPI assigned
- Sep 15, 2011
- 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 | 051-287984 | IL | |
| Pharmacist | 183500000X | PS37464 | FL | Primary |
Addresses
Primary practice location
4560 Okeechobee Blvd
West Palm Beach, FL 33417-4622
Mailing address
4560 Okeechobee Blvd
West Palm Beach, FL 33417-4622
Phone (561) 615-6818
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 |
|---|---|---|---|
| PS37464 | FL | MD | Pharmacist |
| 051-287984 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4560 Okeechobee Blvd
West Palm Beach, FL 33417
Phone (561) 615-6818
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": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1497037485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 OKEECHOBEE BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334174622",
"telephone_number": "561-615-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 OKEECHOBEE BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334174622",
"telephone_number": "561-615-6818",
"fax_number": "561-615-0624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "JERRI",
"middle_name": "ANN",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-287984",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.