Individual provider Active NPI

Joyme Balan Gesite

  • Pharmacist
  • Fortuna, CA
National Provider Identifier
1649164138
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH90811 Issued in CA
Practice address
1065 S Fortuna Blvd
Fortuna, CA 95540-3010
Phone
(707) 726-0377
NPI assigned
Jun 7, 2025
Last updated
Jun 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH90811 CA Primary

Addresses

Primary practice location

1065 S Fortuna Blvd
Fortuna, CA 95540-3010

Mailing address

4235 Forest Hills Dr
Fortuna, CA 95540-4833

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
RPH90811CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jun 8, 2025 Accepting new patients
Walgreen Co PastSince Jun 8, 2025 Accepting new patients

Locations

1065 S Fortuna Blvd
Fortuna, CA 95540
Phone (707) 726-0377

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1649164138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 FOREST HILLS DR",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955404833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 S FORTUNA BLVD",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403010",
            "telephone_number": "707-726-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESITE",
        "first_name": "JOYME",
        "middle_name": "BALAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH90811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortuna, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; 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.