Individual provider Active NPI

Glendale Geluz, PHARMD

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1013284629
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
63957 Issued in CA
Practice address
9920 Scripps Lake Dr Ste 108
San Diego, CA 92131-1080
Phone
(858) 564-2000
NPI assigned
Nov 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 63957 CA Primary

Addresses

Primary practice location

9920 Scripps Lake Dr Ste 108
San Diego, CA 92131-1080

Mailing address

10225 Westonhill Dr
San Diego, CA 92126-3711
Phone (415) 948-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
SNP Pharmacy LLC Past Accepting new patients
SNP Pharmacy LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1013284629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 WESTONHILL DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921263711",
            "telephone_number": "415-948-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 SCRIPPS LAKE DR STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311080",
            "telephone_number": "858-564-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELUZ",
        "first_name": "GLENDALE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "63957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.