Active NPI
Kelly M Gaertner, PHARMD
- Pharmacist
- Butler, PA
National Provider Identifier
1538411020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 446353
- Practice address
- 102 Technology Dr
Suite 110
Butler, PA 16001-1784 - Phone
- (412) 770-3585
- NPI assigned
- Oct 8, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 059578 | NY | |
| Pharmacist | 183500000X | 03330942-3 | OH | |
| Pharmacist | 183500000X | 446353 | PA | Primary |
Addresses
Primary practice location
102 Technology Dr
Suite 110
Butler, PA 16001-1784
Mailing address
102 Technology Dr
Suite 110
Butler, PA 16001-1784
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 |
|---|---|---|---|
| 059578 | NY | MD | Pharmacist |
| 03330942-3 | OH | MD | Pharmacist |
| 446353 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461456000000",
"number": "1538411020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 TECHNOLOGY DR",
"address_2": "SUITE 110",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 TECHNOLOGY DR",
"address_2": "SUITE 110",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011784",
"telephone_number": "412-770-3585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAERTNER",
"first_name": "KELLY",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2016-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "059578",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03330942-3",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "446353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.