Organization Active NPI

Gemmel Pharmacy, Inc.

Doing business as Gemmel Pharmacy of Upland

  • Pharmacy
  • Upland, CA
National Provider Identifier
1649364043
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY48869 Issued in CA
Legal business name
GEMMEL PHARMACY, INC.
Doing business as
Gemmel Pharmacy of Upland
Practice address
823 W Foothill Blvd
Upland, CA 91786-3727
Phone
(909) 985-2745
Fax
(909) 985-7435
NPI assigned
Oct 3, 2006
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Allen Scorsatto
Title
Dir of Phcy Ops
Phone
(909) 984-7132

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY48869 CA Primary
Community/Retail Pharmacy 3336C0003X PHY48869 CA

Addresses

Primary practice location

823 W Foothill Blvd
Upland, CA 91786-3727

Mailing address

823 W Foothill Blvd
Upland, CA 91786-3727

Other identifiers 2

IdentifierTypeStateIssuer
0503284OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1649364043MedicaidCA

Other names 1

  • GEMMEL PHARMACY OF UPLAND Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1649364043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863727",
            "telephone_number": "909-985-2745",
            "fax_number": "909-985-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMMEL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "SCORSATTO",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "DIR OF PHCY OPS",
        "authorized_official_telephone_number": "909-984-7132"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY48869",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48869",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0503284",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649364043",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEMMEL PHARMACY OF UPLAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.