Provider Demographics
NPI:1093691289
Name:GAMERO, JORGE
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:
Last Name:GAMERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 WESLYN SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-5878
Mailing Address - Country:US
Mailing Address - Phone:773-326-8290
Mailing Address - Fax:
Practice Address - Street 1:1409 WESLYN SPRINGS WAY
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-5878
Practice Address - Country:US
Practice Address - Phone:773-326-8290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC84975183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician