Joseph John Gaughan III

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RP450665 Issued in PA

Practice address

617 3Rd St
Dunmore, PA 18512-2849

Phone

(570) 209-7440

NPI assigned

Nov 6, 2018

Last updated

Nov 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Depietros Pharmacy LLC

  • Community/Retail Pharmacy
  • Dunmore, PA
  • NPI 1720358344
  NPD (past)
• Depietros Pharmacy LLC

  • Long Term Care Pharmacy
  • Dunmore, PA
  • NPI 1922657931
  NPD (past)

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1750859971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 3RD ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122849",
            "telephone_number": "570-209-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 3RD ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122849",
            "telephone_number": "570-209-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGHAN",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PA",
            "license": "RP450665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "RP450665",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy Ann Frick, MS, CRC, LPC
• Friedman Chiropractic, LLC (Brown & Friedman Chiropractic)
• Yvonne Galella, D.O.
• Sean Edward Gallagher Sr.
• Michelle Marie Gambo
• Gazoo Counseling Services LLC
• Geisinger Clinic
• Geisinger Clinic (PrimeMed Medical Grp Dunmore in collaboration w/Geisinger Clinic)
• Cory Gentile, MS, LAT, ATC, PES
• Tina Marie George, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.