Organization
GONZALEZ PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL KAISHAR RPH (OWNER PIC)
(626) 221-2103
Entity
Organization
Contact information
Practice address
1240 N HACIENDA BLVD, STE 105, LA PUENTE, CA 91744-1662
(626) 221-2103
(626) 918-4500
Mailing address
1240 N HACIENDA BLVD, STE 105, LA PUENTE, CA 91744-1662
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
PHY48213
CA
3336M0003X
Managed Care Organization Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5625061
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/08/2007
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up