Kady Rae Gonzalez, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS43723 Issued in FL

Practice address

6201 North Suncoast Boulevard
Crystal River, FL 34428

Phone

(352) 795-8360

Fax

(352) 795-8352

NPI assigned

Feb 18, 2014

Last updated

Feb 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kady Rae Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1992129639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 NORTH SUNCOAST BOULEVARD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34428",
            "telephone_number": "352-795-8360",
            "fax_number": "352-795-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 NORTH SUNCOAST BOULEVARD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34428",
            "telephone_number": "352-795-8360",
            "fax_number": "352-795-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KADY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS43723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KADY",
            "last_name": "JOHNSON",
            "middle_name": "RAE",
            "prefix": "MISS",
            "credential": "PHARM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Golden Age Physician Specialists LLC
• Anirudh Gone, MD
• Ghislain Gonsette, PHYSICAL THERAPIST
• Jean Gonsette, PHYSICAL THERAPIST
• Jennifer Joy Gonsman, LMT
• Paulette Gorlin, APRN
• John Willard Grace III, M.D.
• Kenneth Leroy Green Jr.
• Shikerria Green, MD
• Denis Walter Grillo, D.O.

• Pharmacist in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.