Active NPI
Daniel Scott Gorgol, R.PH.
- Pharmacist
- Zionsville, IN
National Provider Identifier
1750977351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26016042A
- Practice address
- 6511 Whitestown Pkwy
Zionsville, IN 46077-7621 - Phone
- (317) 769-5986
- NPI assigned
- Dec 17, 2020
- 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 | 26016042A | IN | Primary |
Addresses
Primary practice location
6511 Whitestown Pkwy
Zionsville, IN 46077-7621
Mailing address
13763 Seaway Dr
Fishers, IN 46037-7819
Phone (317) 997-5507
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 |
|---|---|---|---|
| 26016042A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Current | Accepting new patients |
Locations
6511 Whitestown Pkwy
Zionsville, IN 46077
Phone (317) 340-5293
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Zionsville, IN
- NPI 1467651281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1750977351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13763 SEAWAY DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460377819",
"telephone_number": "317-997-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6511 WHITESTOWN PKWY",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460777621",
"telephone_number": "317-769-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORGOL",
"first_name": "DANIEL",
"middle_name": "SCOTT",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26016042A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zionsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.