Individual provider Active NPI

Gay Smerek, RPH

  • Pharmacist
  • Cornwall, NY
National Provider Identifier
1841514502
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
NY-045612 Issued in NY
Practice address
1 Manor Dr
Cornwall, NY 12518-1474
Phone
(845) 534-8335
NPI assigned
Mar 23, 2010
Last updated
Mar 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X NY-045612 NY Primary
Pharmacist 183500000X 033-0003306 VT

Addresses

Primary practice location

1 Manor Dr
Cornwall, NY 12518-1474

Mailing address

1 Manor Dr
Cornwall, NY 12518-1474
Phone (845) 534-8335

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

LicenseStateTypeSpecialty
NY-045612NYMDPharmacist
033-0003306VTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1841514502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MANOR DR",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181474",
            "telephone_number": "845-534-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MANOR DR",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181474",
            "telephone_number": "845-534-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEREK",
        "first_name": "GAY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "NY-045612",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033-0003306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.