Individual provider Active NPI

Julia Gardiner, PHARMD

  • Pharmacist
  • East Syracuse, NY
National Provider Identifier
1720310030
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049685 Issued in NY
Practice address
15 Technology PL
Suite 2
East Syracuse, NY 13057-9713
Phone
(315) 434-1980
Fax
(315) 434-1985
NPI assigned
Feb 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 049685 NY Primary

Addresses

Primary practice location

15 Technology PL
Suite 2
East Syracuse, NY 13057-9713

Mailing address

15 Technology PL
Suite 2
East Syracuse, NY 13057-9713
Phone (315) 434-1980

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

LicenseStateTypeSpecialty
049685NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1720310030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TECHNOLOGY PL",
            "address_2": "SUITE 2",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579713",
            "telephone_number": "315-434-1980",
            "fax_number": "315-434-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TECHNOLOGY PL",
            "address_2": "SUITE 2",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579713",
            "telephone_number": "315-434-1980",
            "fax_number": "315-434-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "JULIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.