Gelsons Markets

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54077 Issued in CA

Legal business name

GELSONS MARKETS

Doing business as

Gelson's Pharmacy

Practice address

25636 Crown Valley Pkwy
Ladera Ranch, CA 92694-0464

Phone

(949) 364-1914

Fax

(949) 364-1833

NPI assigned

Jul 2, 2006

Last updated

Jun 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert McDougall

Title

President

Phone

(818) 906-5721

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gelson's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Safeway Inc

  dba Safeway Pharmacy #1645

  • Community/Retail Pharmacy
  • Lakewood, WA
  • NPI 1942239967

  Member Of

  NPD member

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1265461206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25636 CROWN VALLEY PKWY",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940464",
            "telephone_number": "949-364-1914",
            "fax_number": "949-364-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25636 CROWN VALLEY PKWY",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940464",
            "telephone_number": "949-364-1914",
            "fax_number": "949-364-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GELSONS MARKETS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "MCDOUGALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-906-5721"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155566",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gelson's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Ann Frank, RNFA
• Alberto Gallastegui, D.D.S.
• Joy Gardner
• Garfield Beach CVS LLC (CVS Pharmacy #06710)
• Carrie Anne Gast, RN
• Abigail Rose Gilkey
• Gire and Salmassian Dental Corporation (Ladera Orthodontics)
• Golden Hearts of Oc, LLC
• Michelle Gomez-Salazar, LCSW
• Catherine Gordon, RN, IBCLC

• Community/Retail Pharmacy in Ladera Ranch, CA
• Providers in Ladera Ranch, 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.