Active NPI
Driss Gaieb, PHARMD
- Pharmacist
- Chula Vista, CA
National Provider Identifier
1316482409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80282
- Practice address
- 16 Third Ave
Chula Vista, CA 91910-1039 - Phone
- (619) 425-1910
- NPI assigned
- Dec 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH5921 | ND | |
| Pharmacist | 183500000X | 80282 | CA | Primary |
Addresses
Primary practice location
16 Third Ave
Chula Vista, CA 91910-1039
Mailing address
16 Third Ave
Chula Vista, CA 91910-1039
Phone (562) 912-0456
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80282 | CA | MD | Pharmacist |
| RPH5921 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Drug Co of Jamestown Inc | Past | Accepting new patients | |
| White Drug Co of Jamestown Inc | 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.
-
- Community/Retail Pharmacy
- West Fargo, ND
- NPI 1033208640
-
- Community/Retail Pharmacy
- Dickinson, ND
- NPI 1124117734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1316482409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 THIRD AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919101039",
"telephone_number": "562-912-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 THIRD AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919101039",
"telephone_number": "619-425-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAIEB",
"first_name": "DRISS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-27",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH5921",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.