Active NPI
Dan Golden, RPH
- Pharmacist
- Healdsburg, CA
National Provider Identifier
1063886406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 032668
- Practice address
- 455 Center St
Healdsburg, CA 95448-3807 - Phone
- (707) 433-3357
- NPI assigned
- Nov 23, 2015
- Last updated
- Nov 23, 2015
- 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 | 032668 | CA | Primary |
Addresses
Primary practice location
455 Center St
Healdsburg, CA 95448-3807
Mailing address
429 Buena Tierra CT
Windsor, CA 95492-8315
Phone (707) 838-1450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032668 | Other | CA | CALIFORNIA STATE BOARD OF PHARMACY LIC# |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032668 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | 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.
-
dba CVS Pharmacy #01173
- Community/Retail Pharmacy
- Healdsburg, CA
- NPI 1285677021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1063886406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 BUENA TIERRA CT",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954928315",
"telephone_number": "707-838-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 CENTER ST",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954483807",
"telephone_number": "707-433-3357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "DAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-23",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "032668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE BOARD OF PHARMACY LIC#",
"identifier": "032668",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Healdsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.