NPIMap

Organization Active NPI

Gonzalez Pharmacy, Inc.

  • Community/Retail Pharmacy
  • La Puente, CA
National Provider Identifier
1639308752
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GONZALEZ PHARMACY, INC.
Practice address
1240 N Hacienda Blvd
105
La Puente, CA 91744-1662
Phone
(626) 918-4300
Fax
(626) 918-4500
NPI assigned
Jul 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Joyce Gabriel Kaishar
Title
Owner/Pharmacy Tech
Phone
(818) 621-9586

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 38459 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

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

Mailing address

1240 N Hacienda Blvd
105
La Puente, CA 91744-1662
Phone (626) 918-4300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1639308752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N HACIENDA BLVD",
            "address_2": "105",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441662",
            "telephone_number": "626-918-4300",
            "fax_number": "626-918-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N HACIENDA BLVD",
            "address_2": "105",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441662",
            "telephone_number": "626-918-4300",
            "fax_number": "626-918-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "KAISHAR",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER/PHARMACY TECH",
        "authorized_official_telephone_number": "818-621-9586"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "38459",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.