Active NPI
Jejuan Gamble, PHARM.D.
- Pharmacist
- Chester, SC
National Provider Identifier
1972808889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11985
- Practice address
- 592 Lancaster Hwy
Chester, SC 29706-1658 - Phone
- (704) 962-9136
- NPI assigned
- Jan 24, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11985 | SC | Primary |
Addresses
Primary practice location
592 Lancaster Hwy
Chester, SC 29706-1658
Mailing address
4147 Sunset RDG
Rock Hill, SC 29732-0224
Phone (704) 962-9136
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11985 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1972808889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4147 SUNSET RDG",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297320224",
"telephone_number": "704-962-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "592 LANCASTER HWY",
"city": "CHESTER",
"state": "SC",
"postal_code": "297061658",
"telephone_number": "704-962-9136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "JEJUAN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-24",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.