Goose Pharma, LLC
NPI 1548924707ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Fountain Valley, CA
Pharmacy, Long Term Care Pharmacy in Fountain Valley, California, registered in NPPES in October 2021. The authorized official on file is Jenny Dang, PHARMD, Pharmacist.
Overview
| NPI | 1548924707 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2021 |
| Last updated in NPPES | Oct 25, 2021 |
| Certified by provider | Oct 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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