Jennifer Suzanne Gatchell, CPHT

Individual provider Active NPI Pharmacy Technician · Vineyard Haven, MA

NPI 1962097360 · NPPES record last updated Mar 8, 2021

Key facts

NPI
1962097360
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
PT7023 (MA)
Practice address
65 Main St
Vineyard Haven, MA 02568-5402
Phone
(508) 693-1010
Fax
(508) 693-6229
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT7023MAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
F.E. Leslie Druggist, Inc. Current
since Dec 21, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X PT7023 MA Yes

Addresses

Primary practice location

65 Main St
Vineyard Haven, MA 02568-5402

Mailing address

PO Box 417
Vineyard Haven, MA 02568-0417
Phone (508) 693-1010

Other providers in Vineyard Haven, MA

All providers in Vineyard Haven, MA · Pharmacy Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.