Organization Active NPI

Gaa Pharmacy Inc

Doing business as Haig Pharmacy

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1942300983
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2146884OtherPK

Other names 1

  • Haig Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150701001390 CA DME Supplier - Pharmacy 0345552501 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory
Tax ID family
Gaa Pharmacy Inc2 organizations share this tax ID, including this one

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.

Verify at the official NPI Registry.