Grcy Pharmacies, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54075 Issued in CA

Legal business name

GRCY PHARMACIES, LLC

Practice address

36101 Bob Hope Dr
Rancho Mirage, CA 92270-2001

Phone

(760) 321-1006

Fax

(760) 321-8912

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Rob McDougall

Title

Ceo

Phone

(818) 906-5721

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gelsons Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Safeway Inc

  • Community/Retail Pharmacy
  • Sunnyside, WA
  • NPI 1861421885

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1508895525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702001",
            "telephone_number": "760-321-1006",
            "fax_number": "760-321-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702001",
            "telephone_number": "760-321-1006",
            "fax_number": "760-321-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRCY PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "MCDOUGALL",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-906-5721"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gelsons Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen Gottfried, DO
• Nicholas Gozzarelli, DO
• Russell J Grant, M.D.
• Alissa Graves
• Johann G. Gray, MD
• Donald James Greco, MD
• Otis Greene III, SUBSTANCE USE DISORD
• Robert B Greene, MD
• Akum Bir Singh Grewal, MD
• Glenn Griffin, DPM

• All providers in Rancho Mirage, CA
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.