Active NPI
Garrett Ow, PHARMD
- Pharmacist
- Pasadena, CA
National Provider Identifier
1760066039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61893
- Practice address
- 1719 E Walnut St
Pasadena, CA 91106-1611 - Phone
- (626) 798-6789
- Fax
- (626) 798-8376
- NPI assigned
- May 11, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 61893 | CA | Primary |
Addresses
Primary practice location
1719 E Walnut St
Pasadena, CA 91106-1611
Mailing address
617 W Foothill Blvd Unit 67
Glendora, CA 91741-2488
Phone (626) 831-8168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH61893 | Other | CA | PHARMACISTS LICENSE |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61893 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1760066039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 W FOOTHILL BLVD UNIT 67",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917412488",
"telephone_number": "626-831-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 E WALNUT ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061611",
"telephone_number": "626-798-6789",
"fax_number": "626-798-8376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OW",
"first_name": "GARRETT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACISTS LICENSE",
"identifier": "RPH61893",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.