Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Goose Pharma, LLC

Organization Community/Retail Pharmacy · NPI 1144746348

Goose Pharma, LLC is a Community/Retail Pharmacy in Fountain Valley, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18049 Magnolia St
Fountain Valley, CA 92708
Phone: (510) 610-1336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X (CA)
Specialty Pharmacy Taxonomy 3336S0011X (CA)

Record details

NPI number1144746348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Dang — Manager · (510) 610-1336
Other names One Pharmacy
NPI enumeratedAugust 18, 2017
Last updated in NPPESAugust 18, 2017
Mailing address18049 Magnolia St, Fountain Valley, CA 92708-5638

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