Active NPI
Sandra Denise Godsey, CPHT
- Pharmacy Technician
- Cleveland, TN
National Provider Identifier
1134492713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 050106009669249
- Practice address
- 635 Paul Huff Pkwy NW
Cleveland, TN 37312-2970 - Phone
- (423) 650-1062
- NPI assigned
- Feb 13, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 050106009669249 | TN | Primary |
Addresses
Primary practice location
635 Paul Huff Pkwy NW
Cleveland, TN 37312-2970
Mailing address
1463 Brown Ave NW
Cleveland, TN 37311-4350
Phone (423) 650-1062
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 |
|---|---|---|---|
| 050106009669249 | TN | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1134492713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1463 BROWN AVE NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373114350",
"telephone_number": "423-650-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 PAUL HUFF PKWY NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373122970",
"telephone_number": "423-650-1062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODSEY",
"first_name": "SANDRA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-13",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TN",
"license": "050106009669249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.