Active NPI
Gaa Pharmacy Inc
Doing business as Haig Pharmacy
- Community/Retail Pharmacy
- Glendale, CA
National Provider Identifier
1942300983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GAA PHARMACY INC
- Doing business as
- Haig Pharmacy
- Practice address
- 1112 S Glendale Ave
Glendale, CA 91205-3203 - Phone
- (818) 500-0800
- Fax
- (818) 500-8527
- NPI assigned
- Sep 22, 2006
- Last updated
- Feb 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anet Gabrielyan
- Title
- Vice President
- Phone
- (818) 414-2622
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1112 S Glendale Ave
Glendale, CA 91205-3203
Mailing address
1112 S Glendale Ave
Glendale, CA 91205-3203
Phone (818) 500-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146884 | Other | PK |
Other names 1
- Haig Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150701001390 | CA | DME Supplier - Pharmacy | 0345552501 | Practice locations: Glendale, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Gaa Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1106 S Glendale Ave
Glendale, CA 91205
Phone (818) 548-8109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643846400000",
"number": "1942300983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 S GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912053203",
"telephone_number": "818-500-0800",
"fax_number": "818-500-8527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 S GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912053203",
"telephone_number": "818-500-0800",
"fax_number": "818-500-8527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A",
"authorized_official_last_name": "GABRIELYAN",
"authorized_official_first_name": "ANET",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "818-414-2622"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2146884",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Haig Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Haig Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.