Goodlife RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55477 Issued in CA

Legal business name

GOODLIFE RX LLC

Doing business as

GARCIA PHARMACY

Practice address

25 N 14TH Street
Ste 110
San Jose, CA 95112-6208

Phone

(408) 294-3219

Fax

(408) 294-3238

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Thuy Mien LeNPI 1912568064

Title

Managing Member

Phone

(408) 294-3219

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• GARCIA PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thuymien Thanh Le

  • Pharmacist
  • Fremont, CA
  • NPI 1912568064
  NPD Authorized official

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1205869674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 14TH STREET",
            "address_2": "STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126208",
            "telephone_number": "408-294-3219",
            "fax_number": "408-294-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 14TH STREET",
            "address_2": "STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126208",
            "telephone_number": "408-294-3219",
            "fax_number": "408-294-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THUY MIEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "408-294-3219",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "1205869674",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY55477",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "05-21092",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARCIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GARCIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dean Scott Goodell, P.T.
• Brice Gooden, RN
• Elizabeth Lena Gooding
• Amanda Goodison
• Goodlife RX LLC
• Tabitha Goodman-Cordero
• Patricia Goodman
• Goodwill Industries of Santa Clara County
• Tatiana Victoria Goodwin
• Visakha Goonewardena, M.D

• Community/Retail Pharmacy in San Jose, CA
• Providers in San Jose, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.