MEDICARE: RODNEY GOMEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	76393	TX

General Provider Information

NPI Number	:	1952278756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODNEY GOMEZ

Provider Business Mailing Address
First Line	:	9300 S INTERSTATE 35
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-1733
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9300 S INTERSTATE 35
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-1733
Country	:	US
Telephone Number	:	512-292-6973
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	10/17/2025

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Directions to “ RODNEY GOMEZ ” Practice Location

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