Organization Active NPI

DS Drugs Inc

  • Community/Retail Pharmacy
  • La Puente, CA
National Provider Identifier
1366587131
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 53864 Issued in CA
Legal business name
DS DRUGS INC
Doing business as
Gonzalez Pharmacy
Practice address
1240 N Hacienda Blvd Ste 105
La Puente, CA 91744-1663
Phone
(626) 918-4300
Fax
(626) 918-4500
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Sandip Sangani
Title
Owner
Phone
(626) 918-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 53864 CA Primary

Addresses

Primary practice location

1240 N Hacienda Blvd Ste 105
La Puente, CA 91744-1663

Mailing address

1240 N Hacienda Blvd
Suite # 105
La Puente, CA 91744-1662
Phone (626) 918-4300

Other identifiers 2

IdentifierTypeStateIssuer
1366587131MedicaidCA
2123387OtherPK

Other names 1

  • Gonzalez Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160509001700 CA DME Supplier - Pharmacy 2365741634 Practice locations: La Puente, CA
O20211201001591 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2365741634 Practice locations: La Puente, CA

National Provider Directory

National Provider Directory

Locations

1240 N Hacienda Blvd
Ste 105
La Puente, CA 91744
Phone (626) 221-2103

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1366587131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N HACIENDA BLVD",
            "address_2": "SUITE # 105",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441662",
            "telephone_number": "626-918-4300",
            "fax_number": "626-918-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N HACIENDA BLVD STE 105",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441663",
            "telephone_number": "626-918-4300",
            "fax_number": "626-918-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DS DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "SANGANI",
        "authorized_official_first_name": "SANDIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-918-4300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366587131",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123387",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonzalez Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gonzalez Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.