Active NPI
Luis Gonzalez III, PHARM.D.
- Pharmacotherapy Pharmacist
- Johnstown, PA
National Provider Identifier
1841410719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- RP031763L
- Practice address
- 1086 Franklin St
Memorial Medical Center
Johnstown, PA 15905-4305 - Phone
- (814) 534-9022
- NPI assigned
- Apr 26, 2007
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | RP031763L | PA | Primary |
Addresses
Primary practice location
1086 Franklin St
Memorial Medical Center
Johnstown, PA 15905-4305
Mailing address
2108 Timson St
Johnstown, PA 15905-1855
Phone (814) 255-3377
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 |
|---|---|---|---|
| RP031763L | PA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841410719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 TIMSON ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159051855",
"telephone_number": "814-255-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 FRANKLIN ST",
"address_2": "MEMORIAL MEDICAL CENTER",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054305",
"telephone_number": "814-534-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LUIS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "PA",
"license": "RP031763L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.