Healthcare Provider Details

I. General information

NPI: 1841105848
Provider Name (Legal Business Name): ANNE MARIE GAMMARIELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S BUENA VISTA ST
BURBANK CA
91505-4809
US

IV. Provider business mailing address

26139 BEECHER LN
STEVENSON RANCH CA
91381-1406
US

V. Phone/Fax

Practice location:
  • Phone: 818-847-3777
  • Fax: 818-847-3700
Mailing address:
  • Phone: 818-847-3777
  • Fax: 818-847-3700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number44638
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: