Gibe Geneti Gelan

Primary specialty

PharmacistTaxonomy code 183500000X

License

78302 Issued in CA

Practice address

310 E McCoy LN Unit 9B
Santa Maria, CA 93455-1387

Phone

(808) 854-6422

NPI assigned

Jun 21, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1457845596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E MCCOY LN UNIT 9B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551387",
            "telephone_number": "808-854-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E MCCOY LN UNIT 9B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551387",
            "telephone_number": "808-854-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELAN",
        "first_name": "GIBE",
        "middle_name": "GENETI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "78302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.