Active NPI
Gary Eirew, RPH
- Pharmacist
- Calimesa, CA
National Provider Identifier
1891313847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH39536
- Practice address
- 1186 Calimesa Blvd
Calimesa, CA 92320-1509 - Phone
- (909) 795-1147
- NPI assigned
- Jul 7, 2020
- Last updated
- Jul 7, 2020
- 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 | RPH39536 | CA | Primary |
Addresses
Primary practice location
1186 Calimesa Blvd
Calimesa, CA 92320-1509
Mailing address
28108 Championship Dr
Moreno Valley, CA 92555-6414
Phone (951) 259-3768
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH39536 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1186 Calimesa Blvd
Calimesa, CA 92320
Phone (909) 795-1147
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1891313847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28108 CHAMPIONSHIP DR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925556414",
"telephone_number": "951-259-3768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1186 CALIMESA BLVD",
"city": "CALIMESA",
"state": "CA",
"postal_code": "923201509",
"telephone_number": "909-795-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIREW",
"first_name": "GARY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH39536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calimesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.