Active NPI
Pierre Andre Gamache, RPH.
- Pharmacist
- Canon City, CO
National Provider Identifier
1750725750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11841
- Practice address
- 1703 Fremont Dr
Canon City, CO 81212-2405 - Phone
- (719) 275-1595
- NPI assigned
- Apr 20, 2013
- Sex
- Male
- 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 | 11841 | CO | Primary |
Addresses
Primary practice location
1703 Fremont Dr
Canon City, CO 81212-2405
Mailing address
1110 Harrison Ave
Canon City, CO 81212-3448
Phone (719) 964-9551
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 |
|---|---|---|---|
| 11841 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366416000000",
"number": "1750725750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 HARRISON AVE",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123448",
"telephone_number": "719-964-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 FREMONT DR",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122405",
"telephone_number": "719-275-1595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMACHE",
"first_name": "PIERRE",
"middle_name": "ANDRE",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-20",
"last_updated": "2013-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "11841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.