Active NPI
Andrew Gonska, PHARMD
- Pharmacist
- Leicester, MA
National Provider Identifier
1902378870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH232622
- Practice address
- 20 Soojian Dr
Leicester, MA 01524-1946 - Phone
- (508) 892-4058
- Fax
- (508) 892-4073
- NPI assigned
- Dec 17, 2018
- Last updated
- Dec 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | PH232622 | MA | Primary |
Addresses
Primary practice location
20 Soojian Dr
Leicester, MA 01524-1946
Mailing address
20 Soojian Dr
Leicester, MA 01524-1946
Phone (508) 892-4058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0408255 | Medicaid | MA |
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 |
|---|---|---|---|
| PH232622 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wal-Mart Pharmacy 10-3409
- Community/Retail Pharmacy
- Leicester, MA
- NPI 1932232030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1902378870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SOOJIAN DR",
"city": "LEICESTER",
"state": "MA",
"postal_code": "015241946",
"telephone_number": "508-892-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 SOOJIAN DR",
"city": "LEICESTER",
"state": "MA",
"postal_code": "015241946",
"telephone_number": "508-892-4058",
"fax_number": "508-892-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONSKA",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-17",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH232622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0408255",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leicester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.