Active NPI
Jessica Goodman, PHARM.D.
- Pharmacist
- New Orleans, LA
National Provider Identifier
1053796656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.021113
- Practice address
- 1405 Jefferson Hwy Ste a
New Orleans, LA 70121-2448 - Phone
- (504) 842-7439
- NPI assigned
- Jul 23, 2015
- Last updated
- Feb 4, 2022
- 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 | PST.021113 | LA | Primary |
Addresses
Primary practice location
1405 Jefferson Hwy Ste a
New Orleans, LA 70121-2448
Mailing address
909 David Dr
Metairie, LA 70003-5134
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 |
|---|---|---|---|
| PST.021113 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1053796656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 DAVID DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700035134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 JEFFERSON HWY STE A",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212448",
"telephone_number": "504-842-7439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-23",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.021113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
- Amelia Chisolm Goodenough, M.D.
- Christopher James Goodenough
- Lauren Goodes
- Elizabeth Marie Goodly, M.D.
- Daniel Yale Goodman
- Melanie Goodman, MS
- Goodnews Church and Care Ministries (Goodnews Religious Non-medical Healthcare Institution)
- Josienne Pyles Goodrow, LPC-S
- Adrienne Goodwin, CRNA
- Marcus Willie Lee Goodwin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.