Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregory OTA

Individual provider Pharmacist · NPI 1558925354

Gregory OTA is a Pharmacist in Burlingame, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1871 El Camino Real
Burlingame, CA 94010-3220
Phone: (650) 692-5065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 40775 (CA)

Record details

NPI number1558925354
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 26, 2019
Last updated in NPPESApril 26, 2019

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