Good Medicine

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12380/1.1 Issued in MS

Legal business name

GOOD MEDICINE

Practice address

20006 Highway 53 Ste C
Gulfport, MS 39503-7843

Phone

(228) 831-9997

Fax

(228) 831-9951

NPI assigned

Jun 14, 2013

Organization subpart

No

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

Authorized official

Name

Michael Gallotte, PHARMD

Title

Pic

Phone

(228) 831-9997

Specialties & licenses 1

Addresses

Other names 1

• Lyman Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1134568942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20006 HIGHWAY 53 STE C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395037843",
            "telephone_number": "228-831-9997",
            "fax_number": "228-831-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20006 HIGHWAY 53 STE C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395037843",
            "telephone_number": "228-831-9997",
            "fax_number": "228-831-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "GALLOTTE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "228-831-9997",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "12380/1.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyman Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lyman Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Lacy Goff Jr., NP
• Bradley Goldenberg, MD
• Brooke Kayla Gonzales, PHARMD
• Paola Nicol Gonzalez de Jesus
• Good Heart Professional Counseling
• Alicia Dorethea Goodman, FNP-C
• Anne Goodman
• Magdy Gorgi-Mikhail, MD
• Laura Gottschalck, LCSW
• Johntre L Goudy, DMD

• Community/Retail Pharmacy in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.