Individual provider Active NPI

Judith Morgan Goodman, RPH

  • Pharmacist
  • Hildebran, NC
National Provider Identifier
1144513854
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
05850 Issued in NC
Practice address
200 US Highway 70a E
Hildebran, NC 28637-8108
Phone
(828) 397-7479
Fax
(828) 397-2031
NPI assigned
May 27, 2011
Last updated
May 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 05850 NC Primary

Addresses

Primary practice location

200 US Highway 70a E
Hildebran, NC 28637-8108

Mailing address

200 A Highway 70 East
Hildebran, NC 28637
Phone (828) 397-7479

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
05850NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1144513854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 A HIGHWAY 70 EAST",
            "city": "HILDEBRAN",
            "state": "NC",
            "postal_code": "28637",
            "telephone_number": "828-397-7479",
            "fax_number": "828-397-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 US HIGHWAY 70A E",
            "city": "HILDEBRAN",
            "state": "NC",
            "postal_code": "286378108",
            "telephone_number": "828-397-7479",
            "fax_number": "828-397-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JUDITH",
        "middle_name": "MORGAN",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "05850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hildebran, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.