Karanvir Goswami

Individual provider Active NPI Pharmacist · American Canyon, CA

NPI 1821867201 · NPPES record last updated Dec 8, 2024

Key facts

NPI
1821867201
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
88984 (CA)
Practice address
103 W American Canyon Rd
American Canyon, CA 94503-1112
Phone
(707) 649-5160
NPI assigned
Dec 27, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
88984CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past
since Dec 31, 2023
Accepting new patients
Safeway Inc Past
since Dec 31, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 88984 CA Yes

Addresses

Primary practice location

103 W American Canyon Rd
American Canyon, CA 94503-1112

Mailing address

1441 Wallace CT
Pinole, CA 94564-2731

Other providers in American Canyon, CA

All providers in American Canyon, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.