MEDICARE: MS. JILL MARIE GONZALO BSPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP-095368L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RP-095368L	OTHER	PA	PHARMACY LICENSE

General Provider Information

NPI Number	:	1013063254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JILL MARIE GONZALO BSPH

Provider Business Mailing Address
First Line	:	101 MOIR AVE
Second Line	:
City	:	WEST CONSHOHOCKEN
State	:	PA
Zip	:	19428-2843
Country	:	US
Telephone Number	:	610-828-4120
Fax Number	:	610-828-4120

Provider Business Practice Location Address
First Line	:	200 W RIDGE PIKE
Second Line	:	200 RIDGE PIKE
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-3702
Country	:	US
Telephone Number	:	610-276-1000
Fax Number	:	610-276-1004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1710916770 — GENUARDI'S FAMILY MARKETS LP (GFM)
Practice Location Address:

200 W RIDGE PIKE STE 110
CONSHOHOCKEN, PA
19428-3702

Practice Phone: 610-276-1010
Practice Fax: 610-276-1004

1558460899 — THRIFT DRUG INC
Practice Location Address:

200 WEST RIDGE PIKE , SUITE 112
CONSHOHOCKEN, PA
19428-3702

Practice Phone: 610-828-1274
Practice Fax:

1275669657 — DR. LINH M DANG
Practice Location Address:

200 W RIDGE PIKE , GENUARDI'S
CONSHOHOCKEN, PA
19428-3702

Practice Phone: 610-276-1010
Practice Fax:

1881911220 — MICHAEL JOSEPH ZRADA RPH
Practice Location Address:

200 W RIDGE PIKE
CONSHOHOCKEN, PA
19428-3702

Practice Phone: 610-828-1274
Practice Fax: 610-828-0248

1326367319 — MR. BARRY GILLES
Practice Location Address:

200 W RIDGE PIKE
CONSHOHOCKEN, PA
19428-3702

Practice Phone: 610-828-1274
Practice Fax: 610-828-0248

1184924706 — DR. REBECCA MARA MCCASKEY PHARM D
Practice Location Address:

200 W RIDGE PIKE , WEIS PHARMACY
CONSHOHOCKEN, PA
19428-3702

Practice Phone: 610-276-1010
Practice Fax: 610-828-3602

Directions to “ MS. JILL MARIE GONZALO BSPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.