Jacob Nathan Gonzales Enriquez, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

86723 Issued in CA

Practice address

7929 Lower Sacramento Rd
Stockton, CA 95210-3723

Phone

(209) 474-0880

NPI assigned

Nov 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Stockton, CA
  • NPI 1851306120
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1891404497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 CALEB CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952105129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 LOWER SACRAMENTO RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103723",
            "telephone_number": "209-474-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5713 N Pershing Ave Ste A3",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952074910",
            "country_code": "US",
            "telephone_number": "209-488-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "JACOB NATHAN",
        "middle_name": "GONZALES",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "86723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P Enfield, MD
• Merlou Ybarsabal Engaling, RN
• Nicole Christine Engen
• Tania Enriquez Reyes
• Griselda G Enriquez
• Nadia Enriquez, BA
• Randall J. Enstrom, MD
• Lolo Entendencia, RESP THERAPIST
• Caroline Enyinnaya
• Jill Epperson, RRT RCP

• Pharmacist in Stockton, CA
• Providers in Stockton, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.