Organization Active NPI

Golden Gate Pharmacy Services

  • Long Term Care Pharmacy
  • Novato, CA
National Provider Identifier
1477534378
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GOLDEN GATE PHARMACY SERVICES
Practice address
8 Digital Dr Ste 200
Novato, CA 94949-8705
Phone
(415) 455-9042
Fax
(415) 455-9318
NPI assigned
Nov 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Nicole Marie ClausenNPI 1669606984
Title
Pic / Director
Phone
(415) 455-9042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

8 Digital Dr Ste 200
Novato, CA 94949-8705

Mailing address

8 Digital Dr Ste 2
Novato, CA 94949-5752
Phone (415) 455-9042

Other identifiers 2

IdentifierTypeStateIssuer
PHA407420MedicaidCA
0518564OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • GOLDEN GATE PHARMACY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NOVATO Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930097942 CA DME Supplier - Pharmacy 1759401003 Practice locations: Novato, CA
O20170105001215 CA Part B Supplier - Pharmacy 1759401003 Practice locations: Novato, CA
O20190903003009 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1759401003 Practice locations: Novato, CA

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 2
Novato, CA 94949

8 Digital Dr
Novato, CA 94949

1525 Francisco Blvd E
Ste 2
San Rafael, CA 94901
Phone (415) 455-9042

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1477534378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DIGITAL DR STE 2",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949495752",
            "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "CLAUSEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PIC / DIRECTOR",
        "authorized_official_telephone_number": "415-455-9042"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA407420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0518564",
            "state": null
        }
    ],
    "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": [
        {
            "organization_name": "GOLDEN GATE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GOLDEN GATE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.