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Goose Pharma, LLC

Long Term Care Pharmacy in Fountain Valley, CA · enumerated 2021 · authorized official Jenny Dang, Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1548924707

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Registry record

Entity type Organization (Type 2)
Legal business name Goose Pharma, LLC
Practice address 18049 Magnolia St, Fountain Valley, CA, 92708
Phone (714) 587-9786
Fax (888) 622-3871
Enumeration date Oct 25, 2021
Last updated in NPPES Oct 25, 2021

Taxonomy & classification

3336L0003X Long Term Care Pharmacy Suppliers Primary

Authorized official

Name Jenny Dang
Title Pharmacist
Phone (714) 587-9786

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-10-25. Verify at npiregistry.cms.hhs.gov.
Where is Goose Pharma, LLC located?
The practice location on file with NPPES is in Fountain Valley, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-25.