GSL Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50644 Issued in CA

Legal business name

GSL PHARMACY INC

Doing business as

Plaza West Pharmacy

Practice address

8540 S Sepulveda Blvd
Suite 102
Los Angeles, CA 90045-3807

Phone

(310) 645-6422

Fax

(310) 645-9570

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Yelena Goldin, RPHNPI 1932863107

Title

Owner/Ceo

Phone

(310) 645-6422

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PLAZA WEST PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yelena Goldin, RPH

  • Pharmacist
  • Los Angeles, CA
  • NPI 1932863107
  NPD Authorized official

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1194011791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-645-6422",
            "fax_number": "310-645-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-645-6422",
            "fax_number": "310-645-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "GOLDIN",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-645-6422",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA506440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZA WEST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Tracy Grzyb, LMFT, M.S.
• Brittany Leah Grzybowski
• GS Medical Center Inc
• GS Medical Center Inc
• Jennifer Ashley Gsell
• GT Ride LLC
• Chuanwei Gu, CASE MANAGER
• Cindy Gu
• Felicia Gu
• Lisha Gu, DMD

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.