Individual provider Active NPI

Barinder Singh Gill

  • Community/Retail Pharmacy
  • San Ramon, CA
National Provider Identifier
1194432682
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
87255 Issued in CA
Practice address
11440 Windemere Pkwy
San Ramon, CA 94582-5179
Phone
(925) 364-6401
NPI assigned
Nov 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 87255 CA Primary

Addresses

Primary practice location

11440 Windemere Pkwy
San Ramon, CA 94582-5179

Mailing address

4025 Palomar Dr
Antioch, CA 94531-6609
Phone (773) 530-4268

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

LicenseStateTypeSpecialty
87255CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Community/Retail Pharmacy CurrentSince Nov 6, 2022 Accepting new patients
Walgreen Co Community/Retail Pharmacy PastSince Nov 6, 2022 Accepting new patients

Locations

11440 Windemere Pkwy
San Ramon, CA 94582
Phone (925) 364-6401

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1194432682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 PALOMAR DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316609",
            "telephone_number": "773-530-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 WINDEMERE PKWY",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825179",
            "telephone_number": "925-364-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "BARINDER",
        "middle_name": "SINGH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "87255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.