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

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 and National Provider Directory roles.

• Louisiana CVS Pharmacy LLC

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

  • 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.

• All providers in National City, CA
• 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.