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NPI 1164230512ActiveOrganization· Pharmacy· Glendale, CA
Pharmacy in Glendale, California, registered in NPPES in December 2024, part of Jewel Pharmacy. The authorized official on file is Gary John Gevorkian, PHARM D, Pic.
Overview
| NPI | 1164230512 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Jewel Pharmacy |
| NPI issued | Dec 18, 2024 |
| Last updated in NPPES | Dec 18, 2024 |
| Certified by provider | Dec 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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