Active NPI
Jacob Thomas Gambo, PHARMD
- Pharmacist
- Springfield, PA
National Provider Identifier
1598302499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP454123
- Practice address
- 1154 Baltimore Pike
Springfield, PA 19064-2850 - Phone
- (610) 544-4645
- NPI assigned
- Dec 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP454123 | PA | Primary |
Addresses
Primary practice location
1154 Baltimore Pike
Springfield, PA 19064-2850
Mailing address
1010 Montgomery Ave
Collingdale, PA 19023-4127
Phone (570) 614-9413
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 |
|---|---|---|---|
| RP454123 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1598302499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 MONTGOMERY AVE",
"city": "COLLINGDALE",
"state": "PA",
"postal_code": "190234127",
"telephone_number": "570-614-9413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1154 BALTIMORE PIKE",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190642850",
"telephone_number": "610-544-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBO",
"first_name": "JACOB",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP454123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.