Individual provider Active NPI

Gloria L Gest, RPH

  • Pharmacist
  • Pocatello, ID
National Provider Identifier
1609177153
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P6603 Issued in ID
Practice address
3945 Pole Line Rd
Pocatello, ID 83201-5425
Phone
(208) 237-5501
Fax
(208) 238-7243
NPI assigned
Nov 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17561 CO
Pharmacist 183500000X P6603 ID Primary
Pharmacist 183500000X CS18023 ID

Addresses

Primary practice location

3945 Pole Line Rd
Pocatello, ID 83201-5425

Mailing address

3945 Pole Line Rd
Pocatello, ID 83201-5425
Phone (208) 237-5501

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
17561COMDPharmacist
CS18023IDMDPharmacist
P6603IDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1609177153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 POLE LINE RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015425",
            "telephone_number": "208-237-5501",
            "fax_number": "208-238-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 POLE LINE RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015425",
            "telephone_number": "208-237-5501",
            "fax_number": "208-238-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEST",
        "first_name": "GLORIA",
        "middle_name": "L",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "17561",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6603",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "CS18023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.