Organization Active NPI

Gold Stallion, Inc

  • Community/Retail Pharmacy
  • Redwood City, CA
National Provider Identifier
1508125246
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GOLD STALLION, INC
Practice address
345 Convention Way
Ste C
Redwood City, CA 94063
Phone
(888) 999-0991
Fax
(888) 395-9798
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Dr. Henry Truong, PHARM.D
Title
Ceo/Cfo/Dir
Phone
(888) 999-0991

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 100775 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

345 Convention Way
Ste C
Redwood City, CA 94063

Mailing address

345 Convention Way
Ste C
Redwood City, CA 94063
Phone (888) 999-0991

Other names 1

  • Mariner Advanced Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

345 Convention Way
Ste C
Redwood City, CA 94063
Phone (415) 367-9500

43 E 3rd Ave
San Mateo, CA 94401
Phone (650) 579-5678

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1508125246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CONVENTION WAY",
            "address_2": "STE C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "888-999-0991",
            "fax_number": "888-395-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CONVENTION WAY",
            "address_2": "STE C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "888-999-0991",
            "fax_number": "888-395-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STALLION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "CEO/CFO/DIR",
        "authorized_official_telephone_number": "888-999-0991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "CA",
            "license": "100775",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mariner Advanced Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.