Goodlife RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GOODLIFE RX LLC

Doing business as

GARCIA PHARMACY

Practice address

25 N 14TH Street
Ste 110
San Jose, CA 95112-6208

Phone

(408) 294-3219

Fax

(408) 465-0832

NPI assigned

Jul 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Thuy Mien LeNPI 1912568064

Title

Managing Member

Phone

(408) 294-3219

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GARCIA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thuymien Thanh Le

  • Pharmacist
  • Fremont, CA
  • NPI 1912568064
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1023660875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 14TH STREET",
            "address_2": "STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126208",
            "telephone_number": "408-294-3219",
            "fax_number": "408-465-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 14TH STREET",
            "address_2": "STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126208",
            "telephone_number": "408-294-3219",
            "fax_number": "408-465-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THUY MIEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "408-294-3219",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY57971",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "56-71424",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARCIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Elizabeth Good, D.M.D.
• Dean Scott Goodell, P.T.
• Brice Gooden, RN
• Elizabeth Lena Gooding
• Amanda Goodison
• Goodlife RX LLC
• Tabitha Goodman-Cordero
• Patricia Goodman
• Goodwill Industries of Santa Clara County
• Tatiana Victoria Goodwin

• Long Term Care Pharmacy in San Jose, CA
• Providers in San Jose, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.