Active NPI
George Kevin Gardner, RPH
- Pharmacist
- Richardson, TX
National Provider Identifier
1881638534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28050
- Practice address
- 1748 N Greenville Ave
Richardson, TX 75081-1808 - Phone
- (214) 502-8958
- NPI assigned
- Jun 15, 2006
- Last updated
- Feb 20, 2017
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28050 | TX | Primary |
| Pharmacist | 183500000X | 5302033222 | MI | |
| Pharmacist | 183500000X | PD09056 | AR | |
| Pharmacist | 183500000X | 12224 | NE | |
| Pharmacist | 183500000X | 17564 | LA | |
| Pharmacist | 183500000X | 013146 | KY |
Addresses
Primary practice location
1748 N Greenville Ave
Richardson, TX 75081-1808
Mailing address
1429 Sherrye Dr
Plano, TX 75074-4425
Phone (214) 502-8958
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28050 | TX | MD | Dentist |
| PD09056 | AR | MD | Pharmacist |
| 013146 | KY | MD | Pharmacist |
| 17564 | LA | MD | Pharmacist |
| 5302033222 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1881638534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1429 SHERRYE DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750744425",
"telephone_number": "214-502-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1748 N GREENVILLE AVE",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750811808",
"telephone_number": "214-502-8958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "GEORGE",
"middle_name": "KEVIN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "28050",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302033222",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD09056",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12224",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17564",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "013146",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.