Active NPI
Goose Pharma, LLC
Doing business as One Pharmacy
- Long Term Care Pharmacy
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- GOOSE PHARMA, LLC
- Doing business as
- One Pharmacy
- Practice address
- 18049 Magnolia St
Fountain Valley, CA 92708-5638 - Phone
- (714) 587-9786
- Fax
- (888) 622-3871
- NPI assigned
- Oct 25, 2021
- Last updated
- Oct 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Dang, PHARMD
- Title
- Pharmacist
- Phone
- (714) 587-9786
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
18049 Magnolia St
Fountain Valley, CA 92708-5638
Mailing address
18049 Magnolia St
Fountain Valley, CA 92708-5638
Phone (714) 587-9786
Other names 1
- One Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Goose Pharma LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
18049 Magnolia St
Fountain Valley, CA 92708
Phone (510) 610-1336
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Huntington Beach, CA
- NPI 1669850285
-
- Pharmacist
- Fountain Valley, CA
- NPI 1073165155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635120000000",
"number": "1548924707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18049 MAGNOLIA ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085638",
"telephone_number": "714-587-9786",
"fax_number": "888-622-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18049 MAGNOLIA ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085638",
"telephone_number": "714-587-9786",
"fax_number": "888-622-3871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOSE PHARMA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A",
"authorized_official_last_name": "DANG",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "714-587-9786",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "One Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.