Organization Active NPI

GJPL, Inc.

  • Pharmacist
  • Santa Monica, CA
National Provider Identifier
1437146453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42814 Issued in CA
Legal business name
GJPL, INC.
Practice address
1301 20TH St
Suite 120
Santa Monica, CA 90404-2050
Phone
(310) 453-6553
Fax
(310) 828-5645
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Farnaz Mahdavi Mavadat, RPH
Title
Pharmacist
Phone
(310) 453-6553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 42814 CA Primary

Addresses

Primary practice location

1301 20TH St
Suite 120
Santa Monica, CA 90404-2050

Mailing address

1301 20TH St
Suite #120
Santa Monica, CA 90404-2050
Phone (310) 453-6553

Other identifiers 1

IdentifierTypeStateIssuer
5364760007MedicaidCA

Other names 1

  • SAINT JOHNS MEDICAL PLAZA PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437146453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "SUITE #120",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042050",
            "telephone_number": "310-453-6553",
            "fax_number": "310-828-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "SUITE 120",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042050",
            "telephone_number": "310-453-6553",
            "fax_number": "310-828-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GJPL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAVADAT",
        "authorized_official_first_name": "FARNAZ",
        "authorized_official_middle_name": "MAHDAVI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "310-453-6553",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "42814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5364760007",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAINT JOHNS MEDICAL PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.