GKN RX

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GKN RX

Doing business as

GKN RX INC

Practice address

1471 B St
Suite:R
Livingston, CA 95334-1432

Phone

(209) 398-2035

Fax

(209) 398-2037

NPI assigned

Aug 22, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Chandra Kadiyala

Title

Director

Phone

(209) 929-1093

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• GKN RX INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• GKN RX

  • Long Term Care Pharmacy
  • Fresno, CA
  • NPI 1588113088

  O20140228000569

  Same enrollment

Tax ID family

GKN RX3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• GKN RX

  • Long Term Care Pharmacy
  • Fresno, CA
  • NPI 1588113088
  NPD tax ID
• GKN RX

  • Long Term Care Pharmacy
  • Livingston, CA
  • NPI 1659813251
  NPD tax ID

Locations

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1114351467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 B ST STE R",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341426",
            "telephone_number": "209-398-2035",
            "fax_number": "209-398-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 B ST",
            "address_2": "SUITE:R",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341432",
            "telephone_number": "209-398-2035",
            "fax_number": "209-398-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GKN RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "KADIYALA",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-929-1093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51566",
            "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": "PK",
            "identifier": "2141790",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114351467",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GKN RX INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GKN RX INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Garcia
• Stephanie Isabel Garcia, RN
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• George T. King
• Jasmin Gill, LPCC
• GKN RX
• Joseph Gonzales
• Grace Cottage
• Grace Home, Inc.
• Lydia T Grant, FNP

• Long Term Care Pharmacy in Livingston, CA
• Providers in Livingston, 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 Apr 25, 2025; 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.