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DR. AVERILL D GORDON PHARM.D.
NPI 1164419305
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Waukegan, IL

Active since October 03, 2005
2702 GRAND AVE, WAUKEGAN, IL 60085(224) 441-3008 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Averill D Gordon Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AVERILL D GORDON PHARM.D. (NPI 1164419305) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Waukegan, Illinois, licensed in Illinois (051.294042) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1164419305
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDR. AVERILL D GORDONCredential: PHARM.D.
Location Address2702 GRAND AVEWaukegan, IL 60085-2407
Mailing Address1282 Chesterfield LnGrayslake, IL 60030-3797 · (904) 477-3853
Phone(224) 441-3008
Sole ProprietorNo
Enumeration DateOctober 3, 2005
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1164419305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in IL · 051.294042
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License PS38857 (FL)
2702 GRAND AVE, Waukegan, IL 60085
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL ABURTO
Pharmacist
2702 GRAND AVE
WAUKEGAN, IL 60085
Lake County (224) 441-3008
KINGSTON HEALTHCARE CONSULTING, LLC
Pharmacy (Community/Retail Pharmacy)
2702 GRAND AVE
WAUKEGAN, IL 60085
Lake County (224) 441-3008
KINGSTON HEALTHCARE CONSULTING, LLC
Pharmacy
2702 GRAND AVE
WAUKEGAN, IL 60085
Lake County (904) 477-3853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Averill Gordon's NPI number?

The NPI number for Averill Gordon is 1164419305. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Averill Gordon located?

Averill Gordon practices at 2702 Grand Ave, Waukegan, IL 60085. The listed phone number is (224) 441-3008.

What is Averill Gordon's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Averill Gordon was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.