Holly Morgan Goodemote, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

066979 Issued in NY

Practice address

27 Round Lake Rd
Ballston Lake, NY 12019-1129

Phone

(518) 899-2986

NPI assigned

Sep 25, 2020

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1083221881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 QUINCY LN",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128048347",
            "telephone_number": "518-307-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ROUND LAKE RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191129",
            "telephone_number": "518-899-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODEMOTE",
        "first_name": "HOLLY",
        "middle_name": "MORGAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilma Frederick, LMHC
• Jake Fried, DDS
• James Gaylord
• Tracey C Glogowski, M.S. ED.
• Katrina Assunta Rochon Gomez, CLC
• Christine Gravelle
• Samuel Guba
• Lauren Lavinia Guilbeault
• Joseph S. Gulyas, D.C.
• Robert Joseph Halbig, M.D.

• Pharmacist in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.