MEDICARE: JASON GARDNER R.PH.

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	050651	NY
2	183500000X	Pharmacist	9464	SC
3	183500000X	Pharmacist	16298	LA

General Provider Information

NPI Number	:	1427371939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON GARDNER R.PH.

Provider Business Mailing Address
First Line	:	104 JAY ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-1569
Country	:	US
Telephone Number	:	718-246-4100
Fax Number	:	718-246-2417

Provider Business Practice Location Address
First Line	:	104 JAY ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-1569
Country	:	US
Telephone Number	:	718-246-4100
Fax Number	:	718-246-2417

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

Provider Enumeration Date	:	03/11/2010
Last Update Date	:	02/21/2014

Similar Medicare Providers

1588844138 — NYCO CHEMISTS INC
Practice Location Address:

104 JAY ST
BROOKLYN, NY
11201-1569

Practice Phone: 718-246-4100
Practice Fax: 718-246-2417

1609714658 — THRIVE APPLIED BEHAVIOR ANALYSIS PLLC
Practice Location Address:

789 BEDFORD AVE APT 4B
BROOKLYN, NY
11205-1569

Practice Phone: 718-909-0720
Practice Fax:

1235131467 — DR. MURRAY JONAS MD
Practice Location Address:

1569 E 18TH ST
BROOKLYN, NY
11230-7201

Practice Phone: 718-375-6500
Practice Fax: 718-375-3667

1942385315 — JOANNE STPAUL DDS
Practice Location Address:

1569 RALPH AVE
BROOKLYN, NY
11236

Practice Phone: 718-251-7167
Practice Fax:

1932251774 — MURRAY JONAS M.D., P.L.L.C.
Practice Location Address:

1569 E 18TH ST
BROOKLYN, NY
11230-7201

Practice Phone: 718-375-6500
Practice Fax: 718-375-3667

1639211600 — GLENWOOD DENTAL ASSOCIATES, PLLC
Practice Location Address:

1569 RALPH AVE
BROOKLYN, NY
11236-3127

Practice Phone: 718-251-7167
Practice Fax: 718-251-7198

Directions to “ JASON GARDNER R.PH.” 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.