OrganizationActive
Gonzalez Pharmacy
NPI 1568510576 · Managed Care Organization Pharmacy · La Puente, CA
Provider details
- NPI number
- 1568510576
- Entity type
- Organization
- Primary specialty
- Managed Care Organization PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gabriel Kaishar, Owner Pic(626) 221-2103
- License
- PHY48213 (CA)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1240 N Hacienda Blvd
Ste 105
La Puente, CA 91744-1662
Phone: (626) 221-2103
Fax: (626) 918-4500
Street-level locationGet directions
Mailing address
1240 N Hacienda Blvd
La Puente, CA 91744-1662
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.