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

Justin Gong

Individual provider Pharmacist · NPI 1447717566

Justin Gong is a Pharmacist in Fairfield, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

2059 Cadenasso Dr
Fairfield, CA 94533-6806
Phone: (707) 759-0005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 77646 (CA)

Record details

NPI number1447717566
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 25, 2019
Last updated in NPPESFebruary 25, 2019
Mailing address2059 Cadenasso Dr, Fairfield, CA 94533-6806

Other providers in Fairfield