Individual provider Active NPI

Jennifer Tracey Gateau

  • Pharmacist
  • Bala Cynwyd, PA
National Provider Identifier
1720969306
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP459775 Issued in PA
Practice address
121 E City Ave
Bala Cynwyd, PA 19004-2448
Phone
(610) 667-7051
NPI assigned
Sep 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP459775 PA Primary

Addresses

Primary practice location

121 E City Ave
Bala Cynwyd, PA 19004-2448

Mailing address

4002 Marshall Rd
Drexel Hill, PA 19026-3412

Other names 1

  • Jennifer Tracey Jeune Former name

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

State licenses

LicenseStateTypeSpecialty
RP459775PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1720969306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 MARSHALL RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E CITY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042448",
            "telephone_number": "610-667-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATEAU",
        "first_name": "JENNIFER",
        "middle_name": "TRACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP459775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JEUNE",
            "middle_name": "TRACEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.