Active NPI
LGDM
Doing business as Jewel Pharmacy
- Pharmacy
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- LGDM
- Doing business as
- Jewel Pharmacy
- Practice address
- 800 S Central Ave Ste 101a
Glendale, CA 91204-4375 - Phone
- (818) 319-3046
- NPI assigned
- Dec 18, 2024
- Last updated
- Dec 18, 2024
- Organization subpart
- Yes
- Parent organization
- JEWEL PHARMACY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary John Gevorkian, PHARM D
- Title
- Pic
- Phone
- (818) 853-2800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
800 S Central Ave Ste 101a
Glendale, CA 91204-4375
Mailing address
800 S Central Ave Ste 101a
Glendale, CA 91204-4375
Phone (818) 319-3046
Other names 1
- JEWEL PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- LGDM
- Part of
- LGDM
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
800 S Central Ave
Ste 101A
Glendale, CA 91204
Phone (818) 853-2880
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Glendale, CA
- NPI 1083083083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734480000000",
"number": "1164230512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S CENTRAL AVE STE 101A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912044375",
"telephone_number": "818-319-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S CENTRAL AVE STE 101A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912044375",
"telephone_number": "818-319-3046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LGDM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JEWEL PHARMACY",
"enumeration_date": "2024-12-18",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A",
"authorized_official_last_name": "GEVORKIAN",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "818-853-2800",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JEWEL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.