Active NPI
Brendan Gonsalves, PHARM.D.
- Pharmacist
- Katy, TX
National Provider Identifier
1023411477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55582
- Practice address
- 5161 Franz Rd
Katy, TX 77493-1754 - Phone
- (281) 391-3410
- NPI assigned
- Sep 30, 2014
- Last updated
- Sep 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55582 | TX | Primary |
Addresses
Primary practice location
5161 Franz Rd
Katy, TX 77493-1754
Mailing address
1226 W Grand Pkwy S
Apartment 811
Katy, TX 77494-8442
Phone (419) 902-3596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55582 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1023411477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 W GRAND PKWY S",
"address_2": "APARTMENT 811",
"city": "KATY",
"state": "TX",
"postal_code": "774948442",
"telephone_number": "419-902-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5161 FRANZ RD",
"city": "KATY",
"state": "TX",
"postal_code": "774931754",
"telephone_number": "281-391-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONSALVES",
"first_name": "BRENDAN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-30",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.