Active NPIIndividual providerSole proprietor

Mr. Gordon A Wall

Pharmacist in Carmel, New York

NPI Number1073893962
Practice location
178 Route 52, Carmel, NY 10512-1200
Fax
845-228-0257
Last updated
August 23, 2011

Gordon A Wall is a Pharmacist based in Carmel, NY. Gordon A Wall practices in Carmel, NY. The NPI Number for Gordon A Wall is 1073893962 and holds a License No. 034550 (NY). The current practice location address for Gordon A Wall is 178 Route 52, Carmel, NY 10512-1200 and can be reached out via phone at 845-225-1038 and via fax at 845-228-0257.

Provider Profile Details

NPI Number
1073893962
Provider Name
Gordon A Wall
Provider Entity Type
Individual
Gender
Male
Address
178 Route 52, Carmel, NY 10512-1200
Phone Number
845-225-1038
Fax Number
845-228-0257
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
August 23, 2011
Last Update Date
August 23, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
178 Route 52
Carmel, NY 10512-1200
City
Carmel
Zip
10512-1200
Phone Number
845-225-1038
Fax Number
845-228-0257
Carmel, NY 10512Get directions →

Provider Business Mailing Address Details

Address
178 Route 52
Carmel, NY 10512-1200
City
Carmel
State
NY
Zip
10512-1200
Phone Number
845-225-1038
Fax Number
845-228-0257

License Information

License Number
034550
License State
NY
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Gordon A Wall?

The NPI number of Mr. Gordon A Wall is 1073893962. It was assigned on August 23, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Gordon A Wall?

Mr. Gordon A Wall is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NY under license number 034550.

Where does Mr. Gordon A Wall practice?

The practice location is 178 Route 52, Carmel, NY 10512-1200. The office can be reached at 845-225-1038 (phone) or 845-228-0257 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073893962 directly on the NPPES registry website.

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