Jeannette Denise Gill, PHARMD
Individual provider Active NPI Pharmacist · Northumberland, PA
NPI 1700906179 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700906179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP044540L (PA)
- Practice address
- 173 Point Township Dr
Northumberland, PA 17857-8889 - Phone
- (570) 473-7506
- Fax
- (570) 473-7262
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP044540L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Grandview Pharmacy, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP044540L | PA | Yes |
Addresses
Primary practice location
173 Point Township Dr
Northumberland, PA 17857-8889
Mailing address
29 Woodridge LN
Northumberland, PA 17857-9587
Phone (570) 473-7506
Other providers in Northumberland, PA
- Angela K Fagan
- Family and Friends Inc.
- Aimee Lynn Gessner
- Brenna Gessner
- Jonathan D. Gessner
- Andrea Gowl
- Candy Hennett
- Megan Hippenstiel
- Marissa Renae Hockenberry
- Tracy Ann Houtz
All providers in Northumberland, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.