Individual provider Active NPI

Jeffey John Goetzinger, R. PH.

  • Pharmacist
  • Springfield, MO
National Provider Identifier
1144823550
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042745 Issued in MO
Practice address
3816 W Chestnut Expy
Springfield, MO 65802-5500
Phone
(417) 868-8288
Fax
(417) 868-8248
NPI assigned
Nov 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042745 MO Primary

Addresses

Primary practice location

3816 W Chestnut Expy
Springfield, MO 65802-5500

Mailing address

3321 S Hillsboro Ave
Springfield, MO 65804-4862
Phone (417) 350-8912

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.orchardhillspharmacy.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Hills Pharmacy Inc Current Accepting new patients
Orchard Hills Pharmacy Inc CurrentSince Nov 22, 2020 Accepting new patients

Locations

3816 W Chestnut Expy
Springfield, MO 65802
Phone (417) 868-8288

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1144823550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 S HILLSBORO AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044862",
            "telephone_number": "417-350-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 W CHESTNUT EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025500",
            "telephone_number": "417-868-8288",
            "fax_number": "417-868-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZINGER",
        "first_name": "JEFFEY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "R. PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "042745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.orchardhillspharmacy.com",
            "affiliation": "N",
            "endpointDescription": "pharmacy website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3816 W Chestnut Expy",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658025500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.