Active NPI
Philip Michael Gebroe, PHARM.D.
- Pharmacist
- Woodland Hills, CA
National Provider Identifier
1801967856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25184
- Practice address
- 20056 Ventura BL
Woodland Hills, CA 91364 - Phone
- (818) 348-0860
- Fax
- (818) 884-3290
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- 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 | 25184 | CA | Primary |
Addresses
Primary practice location
20056 Ventura BL
Woodland Hills, CA 91364
Mailing address
22758 Carsamba Dr
Calabasas, CA 91302-1801
Phone (818) 348-0860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA449600 | Medicaid | CA |
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 |
|---|---|---|---|
| 25184 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillers | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacist
- Woodland Hills, CA
- NPI 1396776068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801967856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22758 CARSAMBA DR",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021801",
"telephone_number": "818-348-0860",
"fax_number": "818-222-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20056 VENTURA BL",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "91364",
"telephone_number": "818-348-0860",
"fax_number": "818-884-3290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBROE",
"first_name": "PHILIP",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "25184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA449600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.