Active NPI
Mirella Gonzalez, PHARMD
- Pharmacist
- San Antonio, TX
National Provider Identifier
1083366801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68940
- Practice address
- 2530 Marshall Rd
San Antonio, TX 78259 - Phone
- (210) 810-4202
- NPI assigned
- Jan 23, 2022
- Sex
- Female
- 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 | 68940 | TX | Primary |
Addresses
Primary practice location
2530 Marshall Rd
San Antonio, TX 78259
Mailing address
7723 Red Hill PL
San Antonio, TX 78240-2298
Phone (210) 535-7441
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 |
|---|---|---|---|
| 68940 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1083366801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7723 RED HILL PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782402298",
"telephone_number": "210-535-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 MARSHALL RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78259",
"telephone_number": "210-810-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MIRELLA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-23",
"last_updated": "2024-04-30",
"certification_date": "2022-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "68940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.