GOODLIFE RX LLC NPI 1205869674

NPI Information

  • NPI: 1205869674
  • Provider Name: GOODLIFE RX LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: GARCIA PHARMACY
  • Address: 25 N 14TH STREET
    STE 110
    SAN JOSE, CA
    ZIP 95112
  • Phone: (408) 294-3219

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NPI Details

GOODLIFE RX LLC is a community/retail pharmacy pharmacy in San Jose, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GOODLIFE RX LLC NPI is 1205869674. The provider is registered as an organization entity type.
The provider Is Doing Business As Garcia Pharmacy.

The provider's business location address is:

25 N 14TH STREET
STE 110
SAN JOSE, CA
ZIP 95112-208
Phone: (408) 294-3219
Fax: (408) 294-3238

The provider's authorized official is Thuy Mien Le .
The authorized official title is Managing Member and has the following contact phone number (408) 294-3219.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 12/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPHY55477CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PHY55477OTHERCALIFORNIABOARD OF PHARMACY PERMIT
205-21092OTHERCALIFORNIANCPDP NUMBER
31205869674OTHERCALIFORNIAMEDI-CAL PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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