Individual provider Active NPI

Gary Laird, PHARMD

  • Pharmacist
  • Redwood City, CA
National Provider Identifier
1871889451
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH46438 Issued in CA
Practice address
2485 El Camino Real
Target Pharmacy Store Number T-0321
Redwood City, CA 94063-2849
Phone
(650) 549-0000
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH46438 CA Primary

Addresses

Primary practice location

2485 El Camino Real
Target Pharmacy Store Number T-0321
Redwood City, CA 94063-2849

Mailing address

1010 N El Camino Real
Target Pharmacy Store Number T-1029
Encinitas, CA 92024-1320
Phone (760) 697-9107

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

LicenseStateTypeSpecialty
RPH46438CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1871889451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N EL CAMINO REAL",
            "address_2": "TARGET PHARMACY STORE NUMBER T-1029",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241320",
            "telephone_number": "760-697-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 EL CAMINO REAL",
            "address_2": "TARGET PHARMACY STORE NUMBER T-0321",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632849",
            "telephone_number": "650-549-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "GARY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH46438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.