Individual provider Active NPI

Gary Ray Hadley, PHARM.D.

  • Geriatric Pharmacist
  • Iowa City, IA
National Provider Identifier
1790782746
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
16098 Issued in IA
Practice address
930 E College St
Iowa City, IA 52240-5558
Phone
(319) 331-2552
NPI assigned
Jul 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X PHA-PHA-LIC-15330 MT
Geriatric Pharmacist 1835G0303X 16098 IA Primary

Addresses

Primary practice location

930 E College St
Iowa City, IA 52240-5558

Mailing address

1303 5TH St Unit 500
Coralville, IA 52241-2935
Phone (406) 925-0176

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
16098IAMDGeriatric Pharmacist
PHA-PHA-LIC-15330MTMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Relief Services, PLLC CurrentSince Feb 4, 2024 Accepting new patients
Pharmacy Relief Services, PLLC PastSince Feb 4, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1790782746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 5TH ST UNIT 500",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412935",
            "telephone_number": "406-925-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E COLLEGE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522405558",
            "telephone_number": "319-331-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "GARY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2024-01-31",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MT",
            "license": "PHA-PHA-LIC-15330",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "IA",
            "license": "16098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.