Khalil Gaieb, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH80291 Issued in CA

Practice address

1201 E Plaza Blvd
National City, CA 91950-3609

Phone

(619) 477-7114

NPI assigned

Nov 21, 2016

Last updated

Jan 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Louisiana CVS Pharmacy LLC

  dba CVS Pharmacy #17881

  • Pharmacy
  • Mandeville, LA
  • NPI 1619695848
  NPD (past)
• Louisiana CVS Pharmacy, L.L.C.

  dba CVS Pharmacy # 5455

  • Pharmacy
  • Lake Charles, LA
  • NPI 1164526000
  NPD (past)

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1740723949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W MCNEESE ST APT 5213",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054523",
            "telephone_number": "562-912-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E PLAZA BLVD",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503609",
            "telephone_number": "619-477-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIEB",
        "first_name": "KHALIL",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-21",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.021837",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH80291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca I Fresno, M.D.
• Nohemi Fuentes Vega
• Edwin B Fuller, MD
• Sabrina Gaba, MS, OTR/L
• John Steve Gachupin, CADC-II
• Andrew Sibal Galang, DMD
• Jane Sibal Galang, D.D.S.
• Janelle Galarza
• Yuliana E Gallegos Rodriguez, PH.D.
• Galleria Medical Clinic, Inc.

• Pharmacist in National City, CA
• Providers in National City, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.