Marla Goldberg, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051033525 Issued in IL

Practice address

2250 Sherman Ave Apt 2
Evanston, IL 60201-2481

Phone

(847) 975-8044

NPI assigned

Jun 20, 2011

Last updated

Jun 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1184910069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SHERMAN AVE APT 2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012481",
            "telephone_number": "847-975-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SHERMAN AVE APT 2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012481",
            "telephone_number": "847-975-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "MARLA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051033525",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 18330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Christine Goebel, MD
• Joseph Golbus, M.D.
• Gold Coast Podiatry Center, LLC
• Kenneth N Goldberg, MD
• Lawrence Goldberg, MD
• Melissa D Goldberg, DPT
• Michael J. Goldberg, MD
• Golden Heart Care LLC
• Carrie E Golden-Brenner, M.D.
• Barbara M Golden, M.D.

• Pharmacist in Evanston, IL
• Providers in Evanston, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.