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MARY GONZALES PHARM D
NPI 1407451685
Pharmacist in Portage, IN

Active since December 03, 2020
3240 WILLOWCREEK RD, PORTAGE, IN 46368(219) 762-3998 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Gonzales Pharm D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY GONZALES PHARM D (NPI 1407451685) is an individual pharmacist in Portage, Indiana, licensed in Indiana (26022134A) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1407451685
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMARY GONZALESCredential: PHARM D
Location Address3240 WILLOWCREEK RDPortage, IN 46368-5055
Mailing Address3240 Willowcreek RdPortage, IN 46368-5055 · (219) 762-3998
Phone(219) 762-3998
Sole ProprietorYes
Enumeration DateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1407451685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in IN · 26022134A
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

3240 WILLOWCREEK RD, Portage, IN 46368
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN TSAGRIS
Pharmacist (Ambulatory Care)
3240 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 762-3998
MOLLY KRISTOFF PHARMD
Pharmacist
3240 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 616-9023
MELISSA HENRY
Pharmacist
3240 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 762-3998
HOOK-SUPERX LLC
Pharmacy
3240 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 762-3998

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gonzales's NPI number?

The NPI number for Mary Gonzales is 1407451685. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Mary Gonzales located?

Mary Gonzales practices at 3240 Willowcreek Rd, Portage, IN 46368. The listed phone number is (219) 762-3998.

What is Mary Gonzales's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mary Gonzales was last updated on December 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.