Active NPI
Amber Goodloe
- Pharmacist
- Madera, CA
National Provider Identifier
1154801884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78447
- Practice address
- 1400 Howard Rd
Madera, CA 93637-5125 - Phone
- (559) 661-8380
- NPI assigned
- Aug 21, 2018
- Last updated
- Aug 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 78447 | CA | Primary |
Addresses
Primary practice location
1400 Howard Rd
Madera, CA 93637-5125
Mailing address
1400 Howard Rd
Madera, CA 93637-5125
Phone (559) 661-8380
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1154801884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 HOWARD RD",
"city": "MADERA",
"state": "CA",
"postal_code": "936375125",
"telephone_number": "559-661-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HOWARD RD",
"city": "MADERA",
"state": "CA",
"postal_code": "936375125",
"telephone_number": "559-661-8380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODLOE",
"first_name": "AMBER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "78447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.