Individual provider Active NPI

Tara Goodman

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Louisville, KY
National Provider Identifier
1184351306
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
022936 Issued in KY
Practice address
1600 Ormsby Station CT
Louisville, KY 40223-4039
Phone
(502) 423-4800
NPI assigned
Aug 7, 2022
Last updated
Jun 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 022936 KY Primary
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

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

State licenses

LicenseStateTypeSpecialty
26031615AINMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
022936KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I PastSince Aug 14, 2022 Accepting new patients
Kroger Limited Partnership I PastSince Aug 14, 2022 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": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1184351306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 TUNNEL MILL RD",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119341",
            "telephone_number": "618-606-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ORMSBY STATION CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234039",
            "telephone_number": "502-423-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 Jeffersonville Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471308395",
            "country_code": "US",
            "telephone_number": "812-288-9245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2864 Charlestown Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471501978",
            "country_code": "US",
            "telephone_number": "812-948-0953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 E Clifty Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472501672",
            "country_code": "US",
            "telephone_number": "812-273-3343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 New Albany Plz",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504658",
            "country_code": "US",
            "telephone_number": "812-948-2701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2631 16th St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474213581",
            "country_code": "US",
            "telephone_number": "812-275-8167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 E Lewis and Clark Pkwy",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "IN",
            "postal_code": "471291758",
            "country_code": "US",
            "telephone_number": "812-948-8036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9501 County Road 403",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "IN",
            "postal_code": "471118939",
            "country_code": "US",
            "telephone_number": "812-256-2943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Highlander Point Dr",
            "address_purpose": "LOCATION",
            "city": "Floyds Knobs",
            "state": "IN",
            "postal_code": "471199470",
            "country_code": "US",
            "telephone_number": "812-923-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "022936",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IN",
            "license": "26031615A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; 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.