NPIMap

Organization Active NPI

Gooding Pharmacy Inc

Doing business as Shoshone Pharmacy

  • Community/Retail Pharmacy
  • Shoshone, ID
National Provider Identifier
1053860767
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
43300LS Issued in ID
Legal business name
GOODING PHARMACY INC
Doing business as
Shoshone Pharmacy
Practice address
653 South Beverly Street
Shoshone, ID 83352
Phone
(208) 934-4000
Fax
(208) 886-2220
NPI assigned
Sep 23, 2016
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason ReadingNPI 1801344924
Title
President
Phone
(208) 324-3784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 43300LS ID Primary

Addresses

Primary practice location

653 South Beverly Street
Shoshone, ID 83352

Mailing address

653 S Beverly St
Shoshone, ID 83352-5121
Phone (208) 886-2000

Other identifiers 1

IdentifierTypeStateIssuer
2164357OtherPK

Other names 1

  • Shoshone Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200721001209 ID Part B Supplier - Mass Immunization (Roster Biller Only) 0143644393 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gooding, ID; Hagerman, ID; Shoshone, ID; Twin Falls, ID

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Gooding Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 S Apple
Ste a
Shoshone, ID 83352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1053860767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 S BEVERLY ST",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "833525121",
            "telephone_number": "208-886-2000",
            "fax_number": "208-886-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 SOUTH BEVERLY STREET",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "83352",
            "telephone_number": "208-934-4000",
            "fax_number": "208-886-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "READING",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-324-3784"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "43300LS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164357",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoshone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoshone, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.