Gimo Pharmacuetical Services

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

S014885 Issued in AZ

Legal business name

GIMO PHARMACUETICAL SERVICES

Practice address

12809 W Indianola Ave
Avondale, AZ 85392-6723

Phone

(480) 825-8566

NPI assigned

Aug 17, 2015

Organization subpart

No

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

Authorized official

Name

Siri Che

Title

Pharmacist

Phone

(480) 825-8566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1962878744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12809 W INDIANOLA AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926723",
            "telephone_number": "480-825-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12809 W INDIANOLA AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926723",
            "telephone_number": "480-825-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIMO PHARMACUETICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "CHE",
        "authorized_official_first_name": "SIRI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "480-825-8566"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "S014885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Point of Service in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.