Gisele Nguyen Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48761 Issued in CA

Legal business name

GISELE NGUYEN INC

Practice address

1182 E Holt Ave
Ste a
Pomona, CA 91767-5833

Phone

(909) 620-6580

Fax

(909) 620-6651

NPI assigned

Nov 6, 2005

Organization subpart

No

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

Authorized official

Name

Gisele Nguyen, PHARM D

Title

Owner

Phone

(904) 620-6580

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• POMONA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1131235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1831170075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 E HOLT AVE",
            "address_2": "STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 E HOLT AVE",
            "address_2": "STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675833",
            "telephone_number": "909-620-6580",
            "fax_number": "909-620-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GISELE NGUYEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-06",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "GISELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-620-6580",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0595477",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA397660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POMONA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosa Patricia Gines, RN
• Vanessa Lynn Gipson
• Michael Girma, M.D.
• Fanny Giron Perdomo
• Anna Giron
• Crystal Gitonga
• Rebecca Elizabeth Giusti, D.O.
• GJ Wellness Rides LLC
• Chelsea Adrianna Gladue, SLP
• Kamanie Glaspie

• Community/Retail Pharmacy in Pomona, CA
• Providers in Pomona, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.