NPIMap

Organization Active NPI

Golden Gate Pharmacy Services Inc

  • Mail Order Pharmacy
  • Novato, CA
National Provider Identifier
1467119354
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
GOLDEN GATE PHARMACY SERVICES INC
Practice address
8 Digital Dr Ste 200
Novato, CA 94949-8705
Phone
(415) 455-9042
Fax
(415) 455-9318
NPI assigned
Nov 26, 2021
Last updated
Nov 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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

Authorized official

Name
Dr. Nicole Marie Clausen, PHARMDNPI 1669606984
Title
Pharmacy Director
Phone
(415) 455-9042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

8 Digital Dr Ste 200
Novato, CA 94949-8705

Mailing address

8 Digital Dr Ste 200
Novato, CA 94949-8705
Phone (415) 455-9042

Other identifiers 1

IdentifierTypeStateIssuer
PHA407420MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NOVATO Direct

National Provider Directory

National Provider Directory
Tax ID family
Golden Gate Pharmacy Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8 Digital Dr
Ste 200
Novato, CA 94949
Phone (415) 455-9042

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1467119354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DIGITAL DR STE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949498705",
            "telephone_number": "415-455-9042",
            "fax_number": "415-455-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DIGITAL DR STE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949498705",
            "telephone_number": "415-455-9042",
            "fax_number": "415-455-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "CLAUSEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "415-455-9042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA407420",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NOVATO",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NOVATO",
            "address_1": "8 Digital Dr Ste 200",
            "city": "Novato",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949498705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.