Provider Demographics
NPI:1982700548
Name:GEMMEL PHARMACY INC
Entity Type:Organization
Organization Name:GEMMEL PHARMACY INC
Other - Org Name:B AND B PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:AL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCORSATTO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:909-987-2518
Mailing Address - Street 1:10244 ROSECRANS AVE
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-2602
Mailing Address - Country:US
Mailing Address - Phone:562-866-8363
Mailing Address - Fax:562-925-6208
Practice Address - Street 1:10244 ROSECRANS AVE
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-2602
Practice Address - Country:US
Practice Address - Phone:562-866-8363
Practice Address - Fax:562-925-6208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0004X, 3336H0001X
CA498253336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0500101OtherNCPDP PROVIDER IDENTIFICATION NUMBER
CAPHA482490Medicaid
0500101OtherNCPDP PROVIDER IDENTIFICATION NUMBER