Active NPI
Arthur Goodman, RPH
- Pharmacist
- Jamestown, NY
National Provider Identifier
1063690634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20 032847
- Practice address
- 963 Fairmount Ave
Jamestown, NY 14701-2452 - Phone
- (716) 483-5999
- Fax
- (716) 487-1822
- NPI assigned
- Feb 6, 2008
- Last updated
- Feb 6, 2008
- Sex
- Male
- 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 | 20 032847 | NY | Primary |
Addresses
Primary practice location
963 Fairmount Ave
Jamestown, NY 14701-2452
Mailing address
963 Fairmount Ave
Jamestown, NY 14701-2452
Phone (716) 483-5999
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 |
|---|---|---|---|
| 20 032847 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of New York Inc | Past | Accepting new patients | |
| Rite Aid of New York Inc | 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.
-
dba Rite Aid Pharmacy 03033
- Community/Retail Pharmacy
- Jamestown, NY
- NPI 1629168653
-
dba Rite Aid Pharmacy 03733
- Community/Retail Pharmacy
- New York, NY
- NPI 1639288129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1063690634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "963 FAIRMOUNT AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147012452",
"telephone_number": "716-483-5999",
"fax_number": "716-487-1822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 FAIRMOUNT AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147012452",
"telephone_number": "716-483-5999",
"fax_number": "716-487-1822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "ARTHUR",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "20 032847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.