Gavin Herbert Company

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY20283 Issued in CA

Legal business name

GAVIN HERBERT COMPANY

Doing business as

Horton and Converse Pharmacy

Practice address

201 S Alvarado St
Ste 611
Los Angeles, CA 90057-2320

Phone

(213) 413-2424

Fax

(213) 413-2427

NPI assigned

Nov 8, 2006

Last updated

Jan 12, 2011By 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

Dennis Medici

Title

Controller

Phone

(949) 640-1231

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• HORTON AND CONVERSE PHARMACY Doing business as

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1437229515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9889",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926581889",
            "telephone_number": "949-640-1231",
            "fax_number": "949-640-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "STE 611",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572320",
            "telephone_number": "213-413-2424",
            "fax_number": "213-413-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIN HERBERT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "MEDICI",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "949-640-1231"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY20283",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA202830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0566971",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HORTON AND CONVERSE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cecilia Ann Gavazzi
• Gavi Medical Supply Inc
• Noe Alfredo Gavidia
• Melissa Gabrielle Gavilanes, PSY.D.
• Gavin Herbert Co. (Horton & Converse Home Medical)
• Gavin Herbert Company (Horton and Converse Pharmacy)
• Bryna Gavin, MS, CNS
• Michelle Gavin, D.O.
• Paul Gavini, RRT
• Abigail Gawart

• Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.