Individual provider Active NPI

Gabrielle Go Kakian

  • Pharmacist
  • California City, CA
National Provider Identifier
1508414558
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62864 Issued in CA
Practice address
9482 California City Blvd
California City, CA 93505-2803
Phone
(760) 373-5268
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62864 CA Primary

Addresses

Primary practice location

9482 California City Blvd
California City, CA 93505-2803

Mailing address

Rite Aid Pharmacy
9482 California City Blvd
California City, CA 93505
Phone (760) 373-5268

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

State licenses

LicenseStateTypeSpecialty
62864CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc PastSince Sep 8, 2019 Accepting new patients
Thrifty Payless Inc PastSince Sep 8, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1508414558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RITE AID PHARMACY",
            "address_2": "9482 CALIFORNIA CITY BLVD",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "93505",
            "telephone_number": "760-373-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9482 CALIFORNIA CITY BLVD",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935052803",
            "telephone_number": "760-373-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKIAN",
        "first_name": "GABRIELLE",
        "middle_name": "GO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "62864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in California City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.