Organization Active NPI

Gemmel Pharmacy Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1174700660
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
49826 Issued in CA
Legal business name
GEMMEL PHARMACY INC
Practice address
3476 Whittier Blvd
107 108
Los Angeles, CA 90023-1748
Phone
(323) 262-8000
Fax
(323) 262-8282
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Jennifer Yoon, RPH
Title
Director of Pharmacy
Phone
(909) 987-2518

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 49826 CA Primary

Addresses

Primary practice location

3476 Whittier Blvd
107 108
Los Angeles, CA 90023-1748

Mailing address

3476 Whittier Blvd
107 108
Los Angeles, CA 90023-1748
Phone (323) 262-8000

Other identifiers 3

IdentifierTypeStateIssuer
85O1174700660MedicaidCA
5629247OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1174700660MedicaidCA

Other names 1

  • EAST LA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3476 Whittier Blvd
Ste 107
Los Angeles, CA 90023
Phone (323) 262-8000

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1174700660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3476 WHITTIER BLVD",
            "address_2": "107 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231748",
            "telephone_number": "323-262-8000",
            "fax_number": "323-262-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3476 WHITTIER BLVD",
            "address_2": "107 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231748",
            "telephone_number": "323-262-8000",
            "fax_number": "323-262-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMMEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "909-987-2518",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "49826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85O1174700660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5629247",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174700660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST LA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.