Active NPI
Andrew Anthony Gonzales, M.S., R.PH.
- Pharmacist
- Covington, LA
National Provider Identifier
1396017208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14404
- Practice address
- 880 US Hwy 190
Covington, LA 70433 - Phone
- (985) 893-9918
- NPI assigned
- Feb 8, 2012
- Sex
- Male
- 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 | 14404 | LA | Primary |
Addresses
Primary practice location
880 US Hwy 190
Covington, LA 70433
Mailing address
880 US Hwy 190
Pharmacy Department
Covington, LA 70433
Phone (985) 893-9918
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
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14404 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1396017208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 US HWY 190",
"address_2": "PHARMACY DEPARTMENT",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-893-9918",
"fax_number": "985-893-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 US HWY 190",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-893-9918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "ANDREW",
"middle_name": "ANTHONY",
"credential": "M.S., R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.