Active NPI
Jason Gomez, PHARMD
- Community/Retail Pharmacy
- Virginia Beach, VA
National Provider Identifier
1679335160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0202221650
- Practice address
- 1060 Taylor Rd
Virginia Beach, VA 23464-5358 - Phone
- (757) 806-1126
- NPI assigned
- Jan 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 0202221650 | VA | Primary |
Addresses
Primary practice location
1060 Taylor Rd
Virginia Beach, VA 23464-5358
Mailing address
1060 Taylor Rd
Virginia Beach, VA 23464-5358
Phone (757) 806-1126
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 |
|---|---|---|---|
| 0202221650 | VA | MD | Community/Retail Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1679335160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 TAYLOR RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234645358",
"telephone_number": "757-806-1126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 TAYLOR RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234645358",
"telephone_number": "757-806-1126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JASON",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "VA",
"license": "0202221650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.