Active NPI
Timothy Gomez IV, PHARMD
- Pharmacist
- Arcadia, CA
National Provider Identifier
1780143073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-80267
- Practice address
- 745 W Naomi Ave
Arcadia, CA 91007-7517 - Phone
- (626) 446-9483
- NPI assigned
- Mar 15, 2019
- Sex
- Male
- 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 | RPH-80267 | CA | Primary |
| Pharmacist | 183500000X | RPH-0017072 | OR |
Addresses
Primary practice location
745 W Naomi Ave
Arcadia, CA 91007-7517
Mailing address
PO Box 244
San Luis Rey, CA 92068-0244
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 |
|---|---|---|---|
| RPH-80267 | CA | MD | Pharmacist |
| RPH-0017072 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1780143073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 244",
"city": "SAN LUIS REY",
"state": "CA",
"postal_code": "920680244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 W NAOMI AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077517",
"telephone_number": "626-446-9483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-15",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH-80267",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0017072",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.