Active NPI
Eun J Gak, PHARM.D.
- Pharmacist
- Granada Hills, CA
National Provider Identifier
1063840825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54146
- Practice address
- 10700 Balboa Blvd # 101
Granada Hills, CA 91344-5001 - Phone
- (818) 831-2090
- Fax
- (818) 831-2976
- NPI assigned
- Oct 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54146 | CA | Primary |
Addresses
Primary practice location
10700 Balboa Blvd # 101
Granada Hills, CA 91344-5001
Mailing address
10700 Balboa Blvd # 101
Granada Hills, CA 91344-5001
Phone (818) 831-2090
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54146 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaks Pharmacy, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Granada Hills, CA
- NPI 1942554530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1063840825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 BALBOA BLVD # 101",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445001",
"telephone_number": "818-831-2090",
"fax_number": "818-831-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 BALBOA BLVD # 101",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445001",
"telephone_number": "818-831-2090",
"fax_number": "818-831-2976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAK",
"first_name": "EUN",
"middle_name": "J",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-14",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.