Active NPI
Angela Marie Gonzale, PHARM D
- Pharmacist
- Santa Fe, NM
National Provider Identifier
1619224359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00007876
- Practice address
- 1096 S Saint Francis Dr
Santa Fe, NM 87505-1654 - Phone
- (505) 982-9811
- Fax
- (505) 982-1072
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | RP00007876 | NM | Primary |
Addresses
Primary practice location
1096 S Saint Francis Dr
Santa Fe, NM 87505-1654
Mailing address
2311 Camino Haulapai
Santa Fe, NM 87505-6265
Phone (505) 692-1025
Other names 1
- Angela Jaber
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00007876 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1619224359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 CAMINO HAULAPAI",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875056265",
"telephone_number": "505-692-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1096 S SAINT FRANCIS DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875051654",
"telephone_number": "505-982-9811",
"fax_number": "505-982-1072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALE",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00007876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "JABER",
"credential": "PHARM D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.