Active NPI
Andrew Michael Gonzales, PHARMD
- Pharmacist
- Broomfield, CO
National Provider Identifier
1821464504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20900
- Practice address
- 9864 Iris St
Broomfield, CO 80021-4268 - Phone
- (303) 669-8914
- Fax
- (719) 738-5767
- NPI assigned
- Aug 17, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20900 | CO | Primary |
Addresses
Primary practice location
9864 Iris St
Broomfield, CO 80021-4268
Mailing address
9864 Iris St
Broomfield, CO 80021-4268
Phone (303) 669-8914
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 |
|---|---|---|---|
| 20900 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1821464504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9864 IRIS ST",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800214268",
"telephone_number": "303-669-8914",
"fax_number": "719-738-5767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9864 IRIS ST",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800214268",
"telephone_number": "303-669-8914",
"fax_number": "719-738-5767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-17",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "20900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.