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JORDAN BAUTISTA GELACIO
NPI 1194337055
Pharmacist in Portsmouth, VA

Active since August 20, 2020
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(619) 947-3757 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2024, Aug 20, 2020 (2 updates tracked since 2020).

About Jordan Bautista Gelacio NPPES

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

JORDAN BAUTISTA GELACIO (NPI 1194337055) is an individual pharmacist in Portsmouth, Virginia, licensed in California (90172) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1194337055
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJORDAN BAUTISTA GELACIO
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111
Phone(619) 947-3757
Sole ProprietorYes
Enumeration DateAugust 20, 2020
Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1194337055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 90172
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
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Other Providers at the Same Location NPPES 20

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

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
MRS. WILLAR MAE BAUM L.C.S.W.
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9767

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 Jordan Gelacio's NPI number?

The NPI number for Jordan Gelacio is 1194337055. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Jordan Gelacio located?

Jordan Gelacio practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (619) 947-3757.

What is Jordan Gelacio's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jordan Gelacio was last updated on January 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.