Active NPI
Patrick Julian Gallegos, PHAMR.D.
- Pharmacotherapy Pharmacist
- Akron, OH
National Provider Identifier
1760465017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 03-1-27622
- Practice address
- 400 Wabash Ave
Akron, OH 44307-2433 - Phone
- (330) 344-6614
- Fax
- (330) 996-2395
- NPI assigned
- Nov 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 42401 | TX | |
| Pharmacotherapy Pharmacist | 1835P1200X | 03-1-27622 | OH | Primary |
Addresses
Primary practice location
400 Wabash Ave
Akron, OH 44307-2433
Mailing address
5638 Nicholson Dr
Hudson, OH 44236-3765
Phone (330) 653-9577
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42401 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760465017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5638 NICHOLSON DR",
"city": "HUDSON",
"state": "OH",
"postal_code": "442363765",
"telephone_number": "330-653-9577",
"fax_number": "330-325-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WABASH AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443072433",
"telephone_number": "330-344-6614",
"fax_number": "330-996-2395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "PATRICK",
"middle_name": "JULIAN",
"name_prefix": "Dr.",
"credential": "PHAMR.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TX",
"license": "42401",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "OH",
"license": "03-1-27622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.