Gary David Metelski

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHY41305 Issued in CA

Practice address

401 E Birch St Ste D
Calexico, CA 92231-4526

Phone

(760) 890-5977

NPI assigned

Feb 8, 2022

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

State licenses

Practice roles

Locations

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.

• Farmacia de Anza

  • Pharmacy
  • Calexico, CA
  • NPI 1578342192
  NPD Authorized official

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1548914575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 RODEO DR",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922519532",
            "telephone_number": "760-234-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E BIRCH ST STE D",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314526",
            "telephone_number": "760-890-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METELSKI",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-08",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY41305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Melendez, CAODC-6781
• Michelle Lynn Melendez, MD
• Ivan Armando Mendoza, EMT-P, PSGT
• Mervat G. Kelada, M.D.
• Mervat Kelada M D a Medical Corporation
• Mexpro Dent
• Lucero Meza Ayala
• Daniela Dayana Meza
• Melissa Jeannette Meza, FNP
• Victor Miranda

• Pharmacist in Calexico, CA
• Providers in Calexico, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.