Individual provider Active NPI

Karen Kiyon Goud, PHARM.D.

  • Pharmacist
  • Manhattan Beach, CA
National Provider Identifier
1063560159
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12349 Issued in AZ
Practice address
1632 Mathews Ave
Manhattan Beach, CA 90266-7113
Phone
(310) 956-5790
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12349 AZ Primary
Pharmacotherapy Pharmacist 1835P1200X RPH51277 CA

Addresses

Primary practice location

1632 Mathews Ave
Manhattan Beach, CA 90266-7113

Mailing address

1632 Mathews Ave
Manhattan Beach, CA 90266-7113
Phone (310) 956-5790

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

LicenseStateTypeSpecialty
12349AZMDCounselor
RPH51277CAMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1063560159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 MATHEWS AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667113",
            "telephone_number": "310-956-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 MATHEWS AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667113",
            "telephone_number": "310-956-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUD",
        "first_name": "KAREN",
        "middle_name": "KIYON",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "12349",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "RPH51277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.