Organization Active NPI

Golden Gate Pharmacy, Inc

  • Community/Retail Pharmacy
  • Naples, FL
National Provider Identifier
1912005513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH11992 Issued in FL
Legal business name
GOLDEN GATE PHARMACY, INC
Practice address
11669 Collier Blvd
Naples, FL 34116-6530
Phone
(239) 455-3124
Fax
(239) 455-2834
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Rae Ann Gibson
Title
Manager
Phone
(239) 455-3124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH11992 FL Primary

Addresses

Primary practice location

11669 Collier Blvd
Naples, FL 34116-6530

Mailing address

11669 Collier Blvd
Naples, FL 34116-6530
Phone (239) 455-3124

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912005513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11669 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166530",
            "telephone_number": "239-455-3124",
            "fax_number": "239-455-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11669 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166530",
            "telephone_number": "239-455-3124",
            "fax_number": "239-455-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "RAE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-455-3124",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH11992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.