GONZALEZ PHARMACY NPI 1568510576

NPI Information

  • NPI: 1568510576
  • Provider Name: GONZALEZ PHARMACY
  • Classification: Pharmacy - 3336M0003X
  • Specialization: Managed Care Organization Pharmacy
  • Entity Type: Organization
  • Address: 1240 N HACIENDA BLVD
    STE 105
    LA PUENTE, CA
    ZIP 91744
  • Phone: (626) 221-2103

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NPI Details

GONZALEZ PHARMACY is a managed care organization pharmacy pharmacy in La Puente, CA. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. GONZALEZ PHARMACY NPI is 1568510576. The provider is registered as an organization entity type.

The provider's business location address is:

1240 N HACIENDA BLVD
STE 105
LA PUENTE, CA
ZIP 91744-662
Phone: (626) 221-2103
Fax: (626) 918-4500

The provider's authorized official is Gabriel Kaishar .
The authorized official title is Owner Pic and has the following contact phone number (626) 221-2103.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 9/11/2025.

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
13336L0003XPharmacyLong Term Care PharmacyPHY48213CALIFORNIANo
23336M0003XPharmacyManaged Care Organization PharmacyYes

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
15625061OTHEROTHER ID NUMBER-COMMERCIAL 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: 11/21/2025

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