Jake Gorrell, PHARMD is a
Pharmacist based in Stockton, Missouri. Jake Gorrell is licensed to practice in Missouri (license number 2019019411) and his current practice location is
19 Public Sq, Stockton, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 276-3128.
NPI number for Jake Gorrell is 1689234528 and his current mailing address is Po Box 189, Stockton, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689234528.
Healthcare Provider's Profile
| Full Name | Jake Gorrell |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 19 Public Sq, Stockton, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689234528
- Provider Enumeration Date: 06/13/2019
- Last Update Date: 06/13/2019
Medical Identifiers
Medical identifiers for Jake Gorrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689234528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 2019019411 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jake Gorrell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jake Gorrell, PHARMD
Po Box 189,
Stockton, MO 65785-0189
Ph: () - | Jake Gorrell, PHARMD
19 Public Sq,
Stockton, MO 65785-7617
Ph: (417) 276-3128 |
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