Individual provider Active NPI

Anthony Gonzalez, PHARMD

  • Pharmacist
  • Bedford, VA
National Provider Identifier
1689173726
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202222411 Issued in VA
Practice address
1126 E Lynchburg Salem Tpke
Bedford, VA 24523-3446
Phone
(540) 586-6012
NPI assigned
Feb 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH-4221 HI
Pharmacist 183500000X 0202222411 VA Primary

Addresses

Primary practice location

1126 E Lynchburg Salem Tpke
Bedford, VA 24523-3446

Mailing address

1126 E Lynchburg Salem Tpke
Bedford, VA 24523-3446
Phone (540) 586-6012

Other identifiers 2

IdentifierTypeStateIssuer
PH-4221OtherHIHI BOARD OF PHARMACY
0202222411OtherVAVA BOARD OF PHARMACY

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

LicenseStateTypeSpecialty
PH-4221HIMDPharmacist
0202222411VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia CVS Pharmacy, L.L.C. PastSince Jan 1, 2025 Accepting new patients
Virginia CVS Pharmacy, L.L.C. PastSince Jan 1, 2025 Accepting new patients
Longs Drug Store California LLC PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1689173726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 E LYNCHBURG SALEM TPKE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245233446",
            "telephone_number": "540-586-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 E LYNCHBURG SALEM TPKE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245233446",
            "telephone_number": "540-586-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-05",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-4221",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202222411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HI BOARD OF PHARMACY",
            "identifier": "PH-4221",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BOARD OF PHARMACY",
            "identifier": "0202222411",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.