Individual provider Active NPI

Maria R Gonzales, PHARMACY TECHNICIAN

  • Other Technician
  • Jersey City, NJ
National Provider Identifier
1376832857
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
28RW00710000 Issued in NJ
Practice address
47 Tonnele Ave
Noble Pharmacy
Jersey City, NJ 07306-5412
Phone
(201) 604-5812
Fax
(201) 604-5815
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 28RW00710000 NJ Primary

Addresses

Primary practice location

47 Tonnele Ave
Noble Pharmacy
Jersey City, NJ 07306-5412

Mailing address

47 Tonnele Ave
Noble Pharmacy
Jersey City, NJ 07306-5412
Phone (201) 604-5812

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

State licenses

LicenseStateTypeSpecialty
28RW00710000NJMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Pharmacy Mt Co Past Accepting new patients
Noble RX Pharmacy LLC PastSince Jun 7, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1376832857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 TONNELE AVE",
            "address_2": "NOBLE PHARMACY",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065412",
            "telephone_number": "201-604-5812",
            "fax_number": "201-604-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 TONNELE AVE",
            "address_2": "NOBLE PHARMACY",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065412",
            "telephone_number": "201-604-5812",
            "fax_number": "201-604-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MARIA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NJ",
            "license": "28RW00710000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.