Austin E Gore, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

16847 Issued in GA

Practice address

3708 Executive Center Dr Ste a
Augusta, GA 30907-0956

Phone

(706) 855-1915

Fax

(706) 855-1456

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical Specialties LLC

  • Pharmacist
  • Augusta, GA
  • NPI 1073685574
  NPD (past) Authorized official
• Clinical Specialties, LLC

  • Community/Retail Pharmacy
  • Augusta, GA
  • NPI 1598068967
  Authorized official Same address or phone

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710059217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 HICKORY RIDGE RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037362",
            "telephone_number": "706-855-1915",
            "fax_number": "706-855-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 EXECUTIVE CENTER DR STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070956",
            "telephone_number": "706-855-1915",
            "fax_number": "706-855-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "AUSTIN",
        "middle_name": "E",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "16847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Gordon, LPC
• Mackenzie Gordon, CTRS
• Megan Tucker Gordon, OTR/L
• Mona Gordon
• Tito Terrell Gordon, LPC
• Johnathan Richard Gore, MD
• Jane Anne Gorham, DO
• Ben-Patrick Martinez Gorion, DO
• Christel Goss
• James R. Gossage, MD

• Pharmacist in Augusta, GA
• Providers in Augusta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.