Active NPI
Dennis Gahagen
- Pharmacist
- Tonawanda, NY
National Provider Identifier
1992028815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 032183
- Practice address
- 1717 Sheridan Dr
Tonawanda, NY 14223-1209 - Phone
- (716) 875-4131
- Fax
- (716) 875-4617
- NPI assigned
- Mar 5, 2010
- Last updated
- Mar 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 032183 | NY | Primary |
Addresses
Primary practice location
1717 Sheridan Dr
Tonawanda, NY 14223-1209
Mailing address
1717 Sheridan Dr
Tonawanda, NY 14223-1209
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032183 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany, L.L.C. | 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": "1267747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267747200000",
"number": "1992028815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 SHERIDAN DR",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "142231209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 SHERIDAN DR",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "142231209",
"telephone_number": "716-875-4131",
"fax_number": "716-875-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAHAGEN",
"first_name": "DENNIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-05",
"last_updated": "2010-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "032183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.