Active NPI
Tashi Gonpo
- Pharmacist
- San Rafael, CA
National Provider Identifier
1558725168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74360
- Practice address
- 1500 Northgate Dr
San Rafael, CA 94903-3671 - Phone
- (415) 492-0888
- NPI assigned
- Apr 9, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 74360 | CA | Primary |
Addresses
Primary practice location
1500 Northgate Dr
San Rafael, CA 94903-3671
Mailing address
405 Forest Park
Hercules, CA 94547-3904
Phone (310) 666-7465
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74360 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- San Rafael, CA
- NPI 1962424077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460160000000",
"number": "1558725168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 FOREST PARK",
"city": "HERCULES",
"state": "CA",
"postal_code": "945473904",
"telephone_number": "310-666-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 NORTHGATE DR",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033671",
"telephone_number": "415-492-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONPO",
"first_name": "TASHI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-09",
"last_updated": "2016-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.