Jonathan Gaddy, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

15937 Issued in NC

Practice address

112 S Sharon Amity Rd
Charlotte, NC 28211-2802

Phone

(704) 366-5684

Fax

(704) 366-1598

NPI assigned

Jul 23, 2016

Last updated

Jul 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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.

• Harris Teeter Pharmacy #208

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1518259613
  Authorized official Same address or phone

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1497108625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S SHARON AMITY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112802",
            "telephone_number": "704-366-5684",
            "fax_number": "704-366-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S SHARON AMITY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112802",
            "telephone_number": "704-366-5684",
            "fax_number": "704-366-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDY",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-23",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "15937",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518259613",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Gabriel, PHARMD
• Rolanda Tuere Gabriel, LPC
• Torri D. Gabriel, PA
• Allison Browning Gaddy, PHARMD
• Heather Gaddy, FNP
• Latreka Simone Gaddy
• Michael Shawn Gaddy, CRNA
• Kirsten Anita Gade
• Mehul H. Gadhia, DMD, MSP
• Dhruvkumar Hareshkumar Gadhiya

• Pharmacist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; 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.