Tara Goodman

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Louisville, KY

NPI 1184351306 · NPPES record last updated Jun 28, 2026

Key facts

NPI
1184351306
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
022936 (KY)
Practice address
1600 Ormsby Station CT
Louisville, KY 40223-4039
Phone
(502) 423-4800
NPI assigned
Aug 7, 2022
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
022936KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I Past
since Aug 14, 2022
Accepting new patients
Kroger Limited Partnership I Past
since Aug 14, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 022936 KY Yes
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26031615A IN

Addresses

Primary practice location

1600 Ormsby Station CT
Louisville, KY 40223-4039

Mailing address

8810 Tunnel Mill Rd
Charlestown, IN 47111-9341
Phone (618) 606-1044

Other practice location 1

1027 Jeffersonville Commons Dr
Jeffersonville, IN 47130-8395
Phone (812) 288-9245

Other practice location 2

2864 Charlestown Rd
New Albany, IN 47150-1978
Phone (812) 948-0953

Other practice location 3

525 E Clifty Dr
Madison, IN 47250-1672
Phone (812) 273-3343

Other practice location 4

200 New Albany Plz
New Albany, IN 47150-4658
Phone (812) 948-2701

Other practice location 5

2631 16th St
Bedford, IN 47421-3581
Phone (812) 275-8167

Other practice location 6

305 E Lewis and Clark Pkwy
Clarksville, IN 47129-1758
Phone (812) 948-8036

Other practice location 7

9501 County Road 403
Charlestown, IN 47111-8939
Phone (812) 256-2943

Other practice location 8

815 Highlander Point Dr
Floyds Knobs, IN 47119-9470
Phone (812) 923-9013

Other providers in Louisville, KY

All providers in Louisville, KY · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky

Sources for this page

Verify at the official NPI Registry.