Samantha Ericka Carmona Gonzalo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

87849 Issued in CA

Practice address

4014 Plaza Goldorado Cir
Cameron Park, CA 95682-8257

Phone

(530) 676-2095

NPI assigned

May 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Cameron Park, CA
  • NPI 1326345174
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1093405359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 PLAZA GOLDORADO CIR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828257",
            "telephone_number": "530-676-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 PLAZA GOLDORADO CIR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828257",
            "telephone_number": "530-676-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALO",
        "first_name": "SAMANTHA",
        "middle_name": "ERICKA CARMONA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "87849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Gardner, B.A.
• Hannah Gates, RDN
• Michel Gellad, PHARMD
• Tyler Gillmor
• Tara Charmane Gomez, LM, CPM
• Joy L. Graf, MFT
• Marcia Greenfield
• Makayla Hall
• Torrey R Hammond, DDS
• Hanger Prosthetics & Orthotics West, Inc.

• Pharmacist in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.