Jouston Taylor Gonzales
Individual provider Active NPI Pharmacy Technician · Exeter, CA
NPI 1164199733 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1164199733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 138349 (CA)
- Practice address
- 1051 W Visalia Rd
Exeter, CA 93221-2202 - Phone
- (559) 592-4901
- Fax
- (559) 592-6538
- NPI assigned
- Aug 23, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138349 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past |
Accepting new patients | |
| Thrifty Payless Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 138349 | CA | Yes |
Addresses
Primary practice location
1051 W Visalia Rd
Exeter, CA 93221-2202
Mailing address
474 1St St
Lindsay, CA 93247-2104
Phone (559) 667-1040
Other providers in Exeter, CA
- Isaac Galvin
- Susan Gambini
- Vanessa E Glaze
- Mason Chadwick Goldbaum
- Lori Anne Gomez
- Edith Gonzalez-Bravo
- Cristina Gonzalez
- Gregory D. Monroe, Chiropractic, Inc.
- Guardian Clinical Services
- Vanessa Guillen
All providers in Exeter, CA · Pharmacy Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.