Active NPI
Gloria L Gest, RPH
- Pharmacist
- Pocatello, ID
National Provider Identifier
1609177153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6603
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17561 | CO | MD | Pharmacist |
| CS18023 | ID | MD | Pharmacist |
| P6603 | ID | MD | Pharmacist |
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.