Individual provider Active NPI

George Giarrusso, B.S. PHARMACY

  • Pharmacist
  • Riverside, CA
National Provider Identifier
1669759585
Registry record updated Nov 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH36573 Issued in CA
Practice address
8044 Limonite Ave
Riverside, CA 92509-6107
Phone
(951) 685-0139
Fax
(951) 685-0154
NPI assigned
Nov 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 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 RPH36573 CA Primary

Addresses

Primary practice location

8044 Limonite Ave
Riverside, CA 92509-6107

Mailing address

4710 Horseshoe LN
Riverside, CA 92509-7100
Phone (951) 681-8442

Other identifiers 1

IdentifierTypeStateIssuer
RPH36573OtherCACALIFORNIA BOARD OF PHARMACY LICENSE NUMBER

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
RPH36573CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320537600000",
    "number": "1669759585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 HORSESHOE LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925097100",
            "telephone_number": "951-681-8442",
            "fax_number": "951-681-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 LIMONITE AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925096107",
            "telephone_number": "951-685-0139",
            "fax_number": "951-685-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARRUSSO",
        "first_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "B.S. PHARMACY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-06",
        "last_updated": "2011-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH36573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY LICENSE NUMBER",
            "identifier": "RPH36573",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.