Active NPI
Marsha D Goeckner, PHARMD
- Pharmacist
- Lewiston, ID
National Provider Identifier
1043425556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6177
- Practice address
- 338 6TH St
Suite 101
Lewiston, ID 83501-2419 - Phone
- (208) 848-8290
- Fax
- (208) 848-8291
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P6177 | ID | Primary |
Addresses
Primary practice location
338 6TH St
Suite 101
Lewiston, ID 83501-2419
Mailing address
28491 Old Spiral Hwy
Lewiston, ID 83501-5064
Phone (208) 305-9698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P6177 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1043425556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28491 OLD SPIRAL HWY",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835015064",
"telephone_number": "208-305-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 6TH ST",
"address_2": "SUITE 101",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835012419",
"telephone_number": "208-848-8290",
"fax_number": "208-848-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOECKNER",
"first_name": "MARSHA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.