Active NPI
Jessica Victoria Gonzalez, PHARMD, CSPI
- Pharmacist
- Charlotte, NC
National Provider Identifier
1619318680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27460
- Practice address
- 601 E 5TH St Ste 140
Charlotte, NC 28202-3092 - Phone
- (704) 248-3712
- NPI assigned
- Jul 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS53914 | FL | |
| Pharmacist | 183500000X | 27460 | NC | Primary |
Addresses
Primary practice location
601 E 5TH St Ste 140
Charlotte, NC 28202-3092
Mailing address
9503 Inverness Bay Rd
Charlotte, NC 28278-6726
Phone (305) 431-3664
Other practice location 1
4440 Golf Acres Drive
Atrium Health
Charlotte, NC 28208
Phone (305) 431-3664
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS53914 | Other | FL | PHARMACIST LICENSE |
| 27460 | Other | NC | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| PS53914 | FL | MD | Pharmacist |
| 27460 | NC | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Ring, Inc. | Current | Accepting new patients |
Locations
601 E 5th St
Ste 140
Charlotte, NC 28202
Phone (704) 248-3711
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Charlotte, NC
- NPI 1215123393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1619318680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9503 INVERNESS BAY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282786726",
"telephone_number": "305-431-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E 5TH ST STE 140",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282023092",
"telephone_number": "704-248-3712"
}
],
"practiceLocations": [
{
"address_1": "4440 Golf Acres Drive",
"address_2": "Atrium Health",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28208",
"country_code": "US",
"telephone_number": "305-431-3664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JESSICA",
"middle_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "PHARMD, CSPI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-08",
"last_updated": "2023-12-01",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53914",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PS53914",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "27460",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.