Active NPI
Donna Margaret Goodpasture
- Pharmacist
- Bristol, VA
National Provider Identifier
1124332259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33876
- Practice address
- 1600 Wendover Rd
Bristol, VA 24201-2841 - Phone
- (276) 466-5698
- NPI assigned
- Jul 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18186 | NC | |
| Pharmacist | 183500000X | 33876 | TN | Primary |
| Pharmacist | 183500000X | 0202011137 | VA |
Addresses
Primary practice location
1600 Wendover Rd
Bristol, VA 24201-2841
Mailing address
1600 Wendover Rd
Bristol, VA 24201-2841
Phone (276) 466-5698
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33876 | TN | MD | Pharmacist |
| 0202011137 | VA | MD | Pharmacist |
| 18186 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1124332259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 WENDOVER RD",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242012841",
"telephone_number": "276-466-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 WENDOVER RD",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242012841",
"telephone_number": "276-466-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODPASTURE",
"first_name": "DONNA",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-30",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18186",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "33876",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202011137",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.