Active NPI
Regina Gergis
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Rialto, CA
National Provider Identifier
1124594395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 79690
- Practice address
- 1280 W Foothill Blvd
Rialto, CA 92376-4686 - Phone
- (909) 879-0305
- NPI assigned
- Oct 15, 2018
- Last updated
- Oct 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 79690 | CA | Primary |
Addresses
Primary practice location
1280 W Foothill Blvd
Rialto, CA 92376-4686
Mailing address
6307 Charolais CT
Eastvale, CA 92880-3101
Phone (909) 747-7489
Other practice location 1
330 E Lambert Rd
Brea, CA 92821-4100
Phone (909) 747-7489
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79690 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1124594395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6307 CHAROLAIS CT",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928803101",
"telephone_number": "909-747-7489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 W FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923764686",
"telephone_number": "909-879-0305"
}
],
"practiceLocations": [
{
"address_1": "330 E Lambert Rd",
"address_purpose": "LOCATION",
"city": "Brea",
"state": "CA",
"postal_code": "928214100",
"country_code": "US",
"telephone_number": "909-747-7489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERGIS",
"first_name": "REGINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "79690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.