Individual provider Active NPI

Louie Gironella

  • Pharmacist
  • Blythe, CA
National Provider Identifier
1669752507
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27616 Issued in CA
Practice address
890 E Hobson Way
Blythe, CA 92225-1800
Phone
(760) 922-9867
NPI assigned
Aug 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27616 CA Primary

Addresses

Primary practice location

890 E Hobson Way
Blythe, CA 92225-1800

Mailing address

450 W Barnard St Apt D241
Bayfield Apartments
Blythe, CA 92225-1586
Phone (925) 699-8813

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
27616CAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1669752507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W BARNARD ST APT D241",
            "address_2": "BAYFIELD APARTMENTS",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251586",
            "telephone_number": "925-699-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E HOBSON WAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251800",
            "telephone_number": "760-922-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRONELLA",
        "first_name": "LOUIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "27616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.