Gerald C Davalos

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY22384 Issued in CA

Legal business name

GERALD C DAVALOS

Doing business as

Ace Pharmacy

Practice address

2505 Noriega Street
San Francisco, CA 94122-4126

Phone

(415) 731-3535

Fax

(415) 731-8650

NPI assigned

Nov 28, 2005

Last updated

May 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerald Charles Davalos, PHARMD

Title

Owner Pharmacist

Phone

(415) 731-3535

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ace Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1861475519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 NORIEGA STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224126",
            "telephone_number": "415-731-3535",
            "fax_number": "415-731-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 NORIEGA STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224126",
            "telephone_number": "415-731-3535",
            "fax_number": "415-731-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD C DAVALOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "DAVALOS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "415-731-3535",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY22384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA223840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ace Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Naomi Geraci
• Pamela Jean Geraghty, LCSW
• Elizabeth Gerber
• Harold Michael Gerber, MD
• Katherine Steiger Gerber
• Richard Mark Gerber, M.D.
• Julie Louise Gerberding, MD MPH

• Pharmacy in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.