Individual provider Active NPI

Jodee M Gadreau, PHARMD

  • Pharmacist
  • Martinsburg, WV
National Provider Identifier
1962875963
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0006505 Issued in WV
Practice address
222 Collins Dr
Martinsburg, WV 25403-1513
Phone
(304) 886-9419
NPI assigned
Nov 12, 2015
Last updated
Nov 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16279 MD
Pharmacist 183500000X RP0006505 WV Primary

Addresses

Primary practice location

222 Collins Dr
Martinsburg, WV 25403-1513

Mailing address

222 Collins Dr
Martinsburg, WV 25403-1513
Phone (304) 886-9419

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
16279MDMDPharmacist
RP0006505WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1962875963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 COLLINS DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031513",
            "telephone_number": "304-886-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 COLLINS DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031513",
            "telephone_number": "304-886-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADREAU",
        "first_name": "JODEE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16279",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.