Active NPI
Jose Elias Gonzalez, PHARMD
- Pharmacotherapy Pharmacist
- Los Fresnos, TX
National Provider Identifier
1477124162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 66926
- Practice address
- 810 W Ocean Blvd Ste A1
Los Fresnos, TX 78566-3682 - Phone
- (956) 233-3400
- NPI assigned
- Jul 5, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66926 | TX | |
| Pharmacotherapy Pharmacist | 1835P1200X | 66926 | TX | Primary |
Addresses
Primary practice location
810 W Ocean Blvd Ste A1
Los Fresnos, TX 78566-3682
Mailing address
810 W Ocean Blvd Ste A1
Los Fresnos, TX 78566-3682
Phone (956) 233-3400
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66926 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1477124162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 W OCEAN BLVD STE A1",
"city": "LOS FRESNOS",
"state": "TX",
"postal_code": "785663682",
"telephone_number": "956-233-3400",
"fax_number": "956-233-3402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 W OCEAN BLVD STE A1",
"city": "LOS FRESNOS",
"state": "TX",
"postal_code": "785663682",
"telephone_number": "956-233-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JOSE",
"middle_name": "ELIAS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-05",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "66926",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TX",
"license": "66926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Fresnos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.