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

Goose Pharma, LLC

Organization Long Term Care Pharmacy · NPI 1548924707

Goose Pharma, LLC is a Long Term Care Pharmacy in Fountain Valley, California. Registered with an NPI since 2021.

In the registry since
2021
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 92708-5638
Phone: (714) 587-9786
Fax: (888) 622-3871
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1548924707
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Dang — Pharmacist · (714) 587-9786
Other names One Pharmacy
NPI enumeratedOctober 25, 2021
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021
Mailing address18049 Magnolia St, Fountain Valley, CA 92708-5638

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