GDC Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GDC PHARMACY LLC

Practice address

8035 SE Holgate Blvd
Portland, OR 97206-3369

Phone

(503) 788-6483

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Nghia TranNPI 1659790400

Title

Pic

Phone

(503) 752-1801

Specialties & licenses 1

Addresses

Other names 1

• Golden Dawn Pharmacy Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tran Biz Inc

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1841546843

  Member Of

  NPD member

Locations

Practitioners 2

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

• Nghia Tran, RPH

  • Pharmacist
  • Portland, OR
  • NPI 1659790400
  NPD Authorized official
• Thuyet Van Tran, M.D.

  • Internal Medicine Physician
  • Damascus, OR
  • NPI 1063626497
  NPD

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617408000000",
    "number": "1487264669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 SE HOLGATE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 SE HOLGATE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063369",
            "telephone_number": "503-788-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "NGHIA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "503-752-1801"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gdcportland12@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "8035 SE Holgate Blvd",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972063369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Golden Dawn Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aziz Gazipura, PSY.D.
• Katherine Gazlay, PHARMD
• Sarah Bustamante Gazurian
• Torbari Ngia Gbaanador, REGISTERED NURSE
• Newton Gborway
• Shugang Ge, MD
• Diana Geacu
• Ananda Vanessa Gear
• Phillip Arthur Gear
• Richard Gear

• Community/Retail Pharmacy in Portland, OR
• Providers in Portland, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; 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.