Active NPI
GJPL, Inc.
- Pharmacist
- Santa Monica, CA
National Provider Identifier
1437146453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42814
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5364760007 | Medicaid | CA |
Other names 1
- SAINT JOHNS MEDICAL PLAZA PHARMACY
National Provider Directory
National Provider DirectoryNPI 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.