Active NPI
Tamara N Godbolt, RPH
- Pharmacist
- Ocoee, FL
National Provider Identifier
1053576561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS33443
- Practice address
- 1701 Fritwell CT
Ocoee, FL 34761-7718 - Phone
- (407) 877-2511
- Fax
- (330) 208-2057
- NPI assigned
- Jul 23, 2008
- Last updated
- Nov 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | PS33443 | FL | Primary |
Addresses
Primary practice location
1701 Fritwell CT
Ocoee, FL 34761-7718
Mailing address
1701 Fritwell CT
Ocoee, FL 34761-7718
Phone (407) 877-2511
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS33443 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320451200000",
"number": "1053576561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 FRITWELL CT",
"city": "OCOEE",
"state": "FL",
"postal_code": "347617718",
"telephone_number": "407-877-2511",
"fax_number": "330-208-2057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 FRITWELL CT",
"city": "OCOEE",
"state": "FL",
"postal_code": "347617718",
"telephone_number": "407-877-2511",
"fax_number": "330-208-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODBOLT",
"first_name": "TAMARA",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2011-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS33443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.