Edward M Gillis

Primary specialty

PharmacistTaxonomy code 183500000X

License

7772843 Issued in UT

Practice address

5326 W 11000 N
Highland, UT 84003-9544

Phone

(801) 763-9786

NPI assigned

May 27, 2021

Last updated

May 27, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1568038990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 W 3425 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840438031",
            "telephone_number": "801-859-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 W 11000 N",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039544",
            "telephone_number": "801-763-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "EDWARD",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7772843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Ebert, F.N.P.
• Edelweiss Senior Care PLLC
• Brianne Ellison
• Brandon Ray Fowler, LPN
• Kevin Jay Fromm, O.D.
• Carson James Gneiting, DMD
• Leah Marie Gonzalez, PA-C
• Kristin Gourley, IBCLC
• Ryan Green, DMD
• Claire S Groll, LCSW

• Pharmacist in Highland, UT
• Providers in Highland, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.