Gordon Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10096 Issued in NC

Legal business name

GORDON FAMILY PHARMACY INC

Doing business as

GORDON FAMILY PHARMACY

Practice address

163 Rosman Hwy
Brevard, NC 28712-4119

Phone

(828) 877-6111

NPI assigned

Jun 19, 2008

Organization subpart

No

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

Authorized official

Name

William GordonNPI 1841427218

Title

President

Phone

(704) 995-5517

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GORDON FAMILY PHARMACY Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Jeffrey Gordon

  • Pharmacist
  • Brevard, NC
  • NPI 1841427218
  NPD (past) Authorized official
• Jacob Allen Reiche, PHARM.D.

  • Pharmacist
  • Brenard, NC
  • NPI 1669750154
  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1881855260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ROSMAN HWY",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124119",
            "telephone_number": "828-877-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ROSMAN HWY",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124119",
            "telephone_number": "828-877-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-995-5517"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3411030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GORDON FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Flanagan Geddes, OT
• Robert Miller Geist IV, MD
• Kevin George II, LCMHC, NCC
• David Locke Glenn Jr., MD
• Pauline Goodfellow, LCSW
• William Jeffrey Gordon
• Betty Dean Gosnell
• Angus Woodward Graham III, MD
• Elizabeth Keats Grant, REGISTERED NURSE
• Ryan Greelis, MS, LAT, ATC

• Community/Retail Pharmacy in Brevard, NC
• Providers in Brevard, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.