Elizabeth Wiley Goodwyn

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202009921 Issued in VA

Practice address

2511 Anderson Hwy
Powhatan, VA 23139-7508

Phone

(804) 598-5028

Fax

(804) 598-6117

NPI assigned

Feb 15, 2007

Last updated

Nov 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Powhatan RX LLC

  dba Powhatan Drug

  • Community/Retail Pharmacy
  • Powhatan, VA
  • NPI 1568976272
  NPD Authorized official
• Donsco Inc

  dba Plaza Pharmacy

  • Community/Retail Pharmacy
  • Powhatan, VA
  • NPI 1740285857
  NPD (past)
• Virginia CVS Pharmacy LLC

  • Pharmacy
  • Powhatan, VA
  • NPI 1184075962
  NPD (past)
• Virginia CVS Pharmacy, L.L.C.

  dba Cvs Pharmacy #17937

  • Pharmacy
  • Sterling, VA
  • NPI 1689558371
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1073656591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 ACADEMY RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395821",
            "telephone_number": "804-598-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 ANDERSON HWY",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397508",
            "telephone_number": "804-598-5028",
            "fax_number": "804-598-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWYN",
        "first_name": "ELIZABETH",
        "middle_name": "WILEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202009921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genmedx
• Melissa Wiltshire Gibbs, ND
• Ian Christopher Giles, M.D.
• Gurveen Gill, DMD
• Inga Noele Goodwin, CD(BAA)
• Kim Rice Gore, PHARMACIST
• Christina Rhea Graham, MSN, FNP-C
• Cassidy Griles, LPC
• Nancy H Hakala, PT
• William R Hale

• Pharmacist in Powhatan, VA
• Providers in Powhatan, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.