Individual provider Active NPI

Nataliya Goings

  • Pharmacist
  • Wallace, NC
National Provider Identifier
1053962837
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28576 Issued in NC
Practice address
5717 S NC 41 Hwy
Wallace, NC 28466-9220
Phone
(910) 285-6481
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
28576NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co. CurrentSince Mar 6, 2022 Accepting new patients
Walgreen Co PastSince Sep 29, 2019 Accepting new patients

Locations

5717 S NC 41 Hwy
Wallace, NC 28466
Phone (910) 285-6481

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28576 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

5717 S NC 41 Hwy
Wallace, NC 28466-9220

Mailing address

2322 Mirage PL
Fort Mill, SC 29708-8312
Phone (315) 414-9594

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2019.

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1053962837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 MIRAGE PL",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088312",
            "telephone_number": "315-414-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 S NC 41 HWY",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284669220",
            "telephone_number": "910-285-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOINGS",
        "first_name": "NATALIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "28576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallace, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.