Active NPI
Dawnrenee Gaudino, RPH
- Pharmacist
- Kingston, PA
National Provider Identifier
1699368407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP040712T
- Practice address
- 777 Wyoming Ave
Kingston, PA 18704-3863 - Phone
- (570) 714-8020
- Fax
- (570) 714-8018
- NPI assigned
- Feb 12, 2021
- Sex
- Female
- 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 | RP040712T | PA | Primary |
Addresses
Primary practice location
777 Wyoming Ave
Kingston, PA 18704-3863
Mailing address
777 Wyoming Ave
Kingston, PA 18704-3863
Phone (570) 714-8020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cooksrx@epix.net | Direct |
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 |
|---|---|---|---|
| RP040712T | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1699368407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 WYOMING AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043863",
"telephone_number": "570-714-8020",
"fax_number": "570-714-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 WYOMING AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043863",
"telephone_number": "570-714-8020",
"fax_number": "570-714-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUDINO",
"first_name": "DAWNRENEE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-12",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP040712T",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cooksrx@epix.net",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "777 Wyoming Ave",
"city": "Kingston",
"state": "PA",
"country_code": "US",
"postal_code": "187043863",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.