Active NPI
Kevin Gold
- Pharmacist
- Sonora, CA
National Provider Identifier
1063950806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38043
- Practice address
- 13763 Mono Way
Sonora, CA 95370 - Phone
- (209) 532-6973
- Fax
- (209) 533-8459
- NPI assigned
- Feb 1, 2017
- Last updated
- Feb 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 38043 | CA | Primary |
Addresses
Primary practice location
13763 Mono Way
Sonora, CA 95370
Mailing address
13763 Mono Way
Sonora, CA 95370
Phone (209) 532-6973
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
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1063950806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13763 MONO WAY",
"city": "SONORA",
"state": "CA",
"postal_code": "95370",
"telephone_number": "209-532-6973",
"fax_number": "209-533-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13763 MONO WAY",
"city": "SONORA",
"state": "CA",
"postal_code": "95370",
"telephone_number": "209-532-6973",
"fax_number": "209-533-8459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-01",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "38043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
- Arlene S Giordano, PHD
- Gold County Counseling a Licensed Clinical Social Worker Professional Corporation
- Gold Rush Home-Study Charter School
- Gold Street Corporation (Seniority Lifecare at Home)
- Gold Street Corporation (Seniority Lifecare at Home)
- Leo Golden
- Gary B Goldsworthy
- Deborah Lynn Goreham, FNP-C
- James A Grabow, DDS, MS
- Jennifer K Grabowski
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.