Active NPI
Nancy Ilene Gau, PHARMD
- Pharmacist
- Council Bluffs, IA
National Provider Identifier
1982971099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19782
- Practice address
- 2508 W Broadway
Council Bluffs, IA 51501-3509 - Phone
- (712) 328-2266
- Fax
- (712) 328-9063
- NPI assigned
- Nov 18, 2011
- Last updated
- Nov 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19782 | IA | Primary |
| Pharmacist | 183500000X | 11759 | NE | |
| Nuclear Pharmacist | 1835N0905X | 11759 | NE |
Addresses
Primary practice location
2508 W Broadway
Council Bluffs, IA 51501-3509
Mailing address
4816 Cedarbrook Dr
Council Bluffs, IA 51503-2588
Phone (712) 249-3213
Other names 1
- Dr. Nancy Ilene Gau
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 |
|---|---|---|---|
| 11759 | NE | MD | Nuclear Pharmacist |
| 19782 | IA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1982971099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4816 CEDARBROOK DR",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515032588",
"telephone_number": "712-249-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 W BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515013509",
"telephone_number": "712-328-2266",
"fax_number": "712-328-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAU",
"first_name": "NANCY",
"middle_name": "ILENE",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19782",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "11759",
"primary": false
},
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "NE",
"license": "11759",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "GAU",
"middle_name": "ILENE",
"prefix": "DR.",
"credential": "PHAMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.