Gil-Jer, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY20203 Issued in CA

Legal business name

GIL-JER, INC

Practice address

2400 Coffee Rd
Ste I
Modesto, CA 95355-2051

Phone

(209) 522-1079

Fax

(209) 575-0826

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah A Dalton

Title

Tech

Phone

(209) 522-1079

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MODEL PHARMACY & Medical Dental Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1689752198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 COFFEE RD",
            "address_2": "STE I",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 COFFEE RD",
            "address_2": "STE I",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552051",
            "telephone_number": "209-522-1079",
            "fax_number": "209-575-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIL-JER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TECH",
        "authorized_official_telephone_number": "209-522-1079",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY20203",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA202030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0538097",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODEL PHARMACY & Medical Dental Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cody Robert Gibson I, ATC
• Kristina Gibson, DPT
• Shakira Gibson
• Trystin Gibson
• Karri L. Gier
• Alexandra Gil
• Alexas Gil
• Melanie Gilbert
• Ronald Gene Gilbert, LMFT
• Sophia Marie Gilbert

• Pharmacy in Modesto, CA
• Providers in Modesto, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.