GKN RX

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

51566 Issued in CA

Legal business name

GKN RX

Doing business as

GKN RX INC

Practice address

1471 B St Ste R
Livingston, CA 95334-1426

Phone

(209) 398-2035

Fax

(209) 398-2037

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Chandra Kadiyala

Title

Ceo

Phone

(509) 392-1958

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GKN RX INC Doing business as

Tax ID family

GKN RX3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• GKN RX

  • Long Term Care Pharmacy
  • Livingston, CA
  • NPI 1114351467
  NPD tax ID
• GKN RX

  • Long Term Care Pharmacy
  • Fresno, CA
  • NPI 1588113088
  NPD tax ID

Locations

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1659813251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 B ST",
            "address_2": "SUITE R",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341432",
            "telephone_number": "209-398-2035",
            "fax_number": "209-398-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 B ST STE R",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341426",
            "telephone_number": "209-398-2035",
            "fax_number": "209-398-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GKN RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "KADIYALA",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-392-1958"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "51566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166230",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114351467",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GKN RX INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Isabel Garcia, RN
• Garfield Beach CVS LLC
• George T. King
• Jasmin Gill, LPCC
• GKN RX
• Joseph Gonzales
• Grace Cottage
• Grace Home, Inc.
• Lydia T Grant, FNP
• Evangeline D Guettinger, RN

• Long Term Care Pharmacy in Livingston, CA
• Providers in Livingston, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.