Gonzalez Pharmacy

Primary specialty

Managed Care Organization PharmacyTaxonomy code 3336M0003X

Legal business name

GONZALEZ PHARMACY

Practice address

1240 N Hacienda Blvd
Ste 105
La Puente, CA 91744-1662

Phone

(626) 221-2103

Fax

(626) 918-4500

NPI assigned

Jan 8, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabriel Kaishar, RPH

Title

Owner Pic

Phone

(626) 221-2103

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1568510576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N HACIENDA BLVD",
            "address_2": "STE 105",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N HACIENDA BLVD",
            "address_2": "STE 105",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441662",
            "telephone_number": "626-221-2103",
            "fax_number": "626-918-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KAISHAR",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER PIC",
        "authorized_official_telephone_number": "626-221-2103",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY48213",
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5625061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Eagle Medical Network (Clinica Medica San Pedro Network)
• Amanda R. Gomez
• Erica Olympia Gomez, PA-C
• Nicolle Gomez
• Ralph Gongora
• Gonzalez Pharmacy, Inc.
• Arelly Gonzalez
• Cynthia Karena Gonzalez, RDA
• Diana Gonzalez
• Maria Del Carmen Gonzalez, CPHW/MA

• Pharmacy in La Puente, CA
• Providers in La Puente, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.