Gary Collinsworth, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH28168 Issued in CA

Practice address

5100 Obyrnes Ferry Rd
Jamestown, CA 95327-9102

Phone

(209) 984-5291

NPI assigned

Aug 14, 2012

Sex

Male

Sole proprietor

No

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

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Jamestown, CA
  • NPI 1871898304
  NPD (past)
• Sierra Conservation Center

  • Adult Mental Health Clinic/Center
  • Jamestown, CA
  • NPI 1710427778
  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1659628287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 O'BYRNES FERRY RD",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "95327",
            "telephone_number": "209-984-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 OBYRNES FERRY RD",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953279102",
            "telephone_number": "209-984-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINSWORTH",
        "first_name": "GARY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH28168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Bach, CMT
• Michael A Backlund, PHD
• Beloved Doula Services, LLC
• Nancy Marie Brace, DDS
• Casa Viejos Personal Care
• Corrections and Rehabilitation-Headquarters
• Eva Kirsten Cunningham
• Dayna Decristoferi, LMFT
• David Benjamin Demattei, PA
• Hope H Ewing, MD

• All providers in Jamestown, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.