Active NPI
Gizelle Nodalo, RPH
- Pharmacist
- Visalia, CA
National Provider Identifier
1750706255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61342
- Practice address
- 1407 N Dinuba Blvd
Visalia, CA 93291-2910 - Phone
- (559) 734-2620
- Fax
- (559) 734-2259
- NPI assigned
- Feb 20, 2014
- Last updated
- Feb 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61342 | CA | Primary |
Addresses
Primary practice location
1407 N Dinuba Blvd
Visalia, CA 93291-2910
Mailing address
3638 S Cindy CT
Visalia, CA 93277-5102
Phone (818) 913-5978
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61342 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1750706255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3638 S CINDY CT",
"city": "VISALIA",
"state": "CA",
"postal_code": "932775102",
"telephone_number": "818-913-5978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 N DINUBA BLVD",
"city": "VISALIA",
"state": "CA",
"postal_code": "932912910",
"telephone_number": "559-734-2620",
"fax_number": "559-734-2259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NODALO",
"first_name": "GIZELLE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-20",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.