Andiesky Gonzalez, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH027808 Issued in GA

Practice address

2225 E Walnut Ave
Dalton, GA 30721-4529

Phone

(706) 260-2628

Fax

(706) 260-2634

NPI assigned

Jul 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Dalton, GA
  • NPI 1699935247
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1467869636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307214529",
            "telephone_number": "706-260-2628",
            "fax_number": "706-260-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307214529",
            "telephone_number": "706-260-2628",
            "fax_number": "706-260-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANDIESKY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027808",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "38386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Goering, LCSW, MSW
• Laura Goins, PA
• Esteban J Gomez Alvarez, MD
• Luis Alberto Gomez Vaca, M.D.
• Ashley Nicole Goniea
• Juan Carlos Gonzalez, MD
• Karen Mireya Gonzalez, O.D.
• Good Hope Counseling PC
• Jesse Goode
• Brent Goodge, M.D.

• Pharmacist in Dalton, GA
• Providers in Dalton, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.