Individual provider Active NPI

Allie Gaetano, PHARMD, RPH

  • Pharmacist
  • Gilbert, AZ
National Provider Identifier
1801272943
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S021303 Issued in AZ
Practice address
455 S Recker Rd
Apt 1019
Gilbert, AZ 85296-1206
Phone
(724) 787-9300
NPI assigned
Jul 30, 2015
Last updated
Jul 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S021303 AZ Primary

Addresses

Primary practice location

455 S Recker Rd
Apt 1019
Gilbert, AZ 85296-1206

Mailing address

455 S Recker Rd
Apt 1019
Gilbert, AZ 85296-1206
Phone (724) 787-9300

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
S021303AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1801272943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S RECKER RD",
            "address_2": "APT 1019",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961206",
            "telephone_number": "724-787-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S RECKER RD",
            "address_2": "APT 1019",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961206",
            "telephone_number": "724-787-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAETANO",
        "first_name": "ALLIE",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S021303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.