Michael Stephen Goeing, R.PH.
Individual provider Active NPI Pharmacist · Bypro, KY
NPI 1043767056 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1043767056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 007458 (KY)
- Practice address
- 107 Ky Route 306
Bypro, KY 41612-9711 - Phone
- (606) 452-4134
- Fax
- (606) 452-4211
- NPI assigned
- Sep 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007458 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danpro Holdings, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 007458 | KY | Yes |
Addresses
Primary practice location
107 Ky Route 306
Bypro, KY 41612-9711
Mailing address
107 Ky Route 306
Bypro, KY 41612-9711
Phone (606) 452-4134
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100324200 | Medicaid | KY |
Other providers in Bypro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.