Active NPI
Jeremy Michael Gerber, PHARMD, MBA
- Pharmacist
- Goodyear, AZ
National Provider Identifier
1831714989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15008
- Practice address
- 14200 W Celebrate Life Way
Goodyear, AZ 85338-3007 - Phone
- (623) 207-3247
- NPI assigned
- Jun 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 15008 | AZ | |
| Oncology Pharmacist | 1835X0200X | 15008 | AZ | |
| Pharmacist | 183500000X | 15008 | AZ | Primary |
Addresses
Primary practice location
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Mailing address
13621 W Verde LN
Avondale, AZ 85392-3564
Phone (570) 239-3987
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Goodyear | Western Regional Medical Center Inc. Hospital Pharmacy |
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15008 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1831714989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13621 W VERDE LN",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853923564",
"telephone_number": "570-239-3987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14200 W CELEBRATE LIFE WAY",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853383007",
"telephone_number": "623-207-3247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBER",
"first_name": "JEREMY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-15",
"last_updated": "2023-11-27",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "AZ",
"license": "15008",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "AZ",
"license": "15008",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "15008",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Goodyear",
"affiliation": "Y",
"affiliationName": "Western Regional Medical Center Inc. Hospital Pharmacy",
"address_1": "14200 W Celebrate Life Way",
"city": "Goodyear",
"state": "AZ",
"country_code": "US",
"postal_code": "853383007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.