Active NPI
Eloise B Gonzales, RPH
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1154487502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP027763L
- Practice address
- One Penn Blvd
Germantown Community Health Services Pharmacy
Philadelphia, PA 19144 - Phone
- (215) 951-8030
- Fax
- (215) 951-8083
- NPI assigned
- Dec 29, 2006
- 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 | RP027763L | PA | Primary |
Addresses
Primary practice location
One Penn Blvd
Germantown Community Health Services Pharmacy
Philadelphia, PA 19144
Mailing address
2089 Welsh Rd
G 4
Philadelphia, PA 19115
Phone (215) 951-8032
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 |
|---|---|---|---|
| RP027763L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154487502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2089 WELSH RD",
"address_2": "G 4",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19115",
"telephone_number": "215-951-8032",
"fax_number": "215-951-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE PENN BLVD",
"address_2": "GERMANTOWN COMMUNITY HEALTH SERVICES PHARMACY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19144",
"telephone_number": "215-951-8030",
"fax_number": "215-951-8083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "ELOISE",
"middle_name": "B",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP027763L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.