GBV Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50930 Issued in CA

Legal business name

GBV CORPORATION

Doing business as

Arcade Lane Compounding Pharmacy

Practice address

700 E Colorado Blvd
Pasadena, CA 91101-2102

Phone

(626) 577-7979

Fax

(626) 577-7977

NPI assigned

May 21, 2012

Organization subpart

No

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

Authorized official

Name

Gayane Besnelian

Title

President/Pic

Phone

(626) 577-7979

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Arcade Lane Compounding Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1043570385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012102",
            "telephone_number": "626-577-7979",
            "fax_number": "626-577-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012102",
            "telephone_number": "626-577-7979",
            "fax_number": "626-577-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBV CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "BESNELIAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "626-577-7979"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50930",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5644009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcade Lane Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesus Emmaunel Gaxiola Jr.
• Frank James Gay
• Adrian Patricia Gaytan
• Vardan V Gazarian, CPO
• Grace W Gbunblee
• Karah Ann Gebhard
• Bethesda Yee-Chin Gee, M.D.
• Sandy K Gee, O.D.
• Jennifer Anne Geer, LVN
• Sue Geeting

• Community/Retail Pharmacy in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.