Active NPI
Lidia Nader Gerges, RPH
- Pharmacist
- Martinez, CA
National Provider Identifier
1265717748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59350
- Practice address
- 3655 Alhambra Ave
Martinez, CA 94553-3912 - Phone
- (925) 372-0337
- Fax
- (925) 372-6018
- NPI assigned
- Oct 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59350 | CA | Primary |
Addresses
Primary practice location
3655 Alhambra Ave
Martinez, CA 94553-3912
Mailing address
220 Dandelion LN
San Ramon, CA 94582-5565
Phone (925) 718-5330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59350 | Other | CA | RPH LICENSE# |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59350 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1265717748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 DANDELION LN",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825565",
"telephone_number": "925-718-5330",
"fax_number": "925-718-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 ALHAMBRA AVE",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945533912",
"telephone_number": "925-372-0337",
"fax_number": "925-372-6018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERGES",
"first_name": "LIDIA",
"middle_name": "NADER",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE#",
"identifier": "59350",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.