Active NPI
Dawn Goodwin
- Pharmacist
- Palm Bay, FL
National Provider Identifier
1194195016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36961
- Practice address
- 3450 Bayside Lakes Shopping Center
Palm Bay, FL 32909 - Phone
- (321) 525-5735
- NPI assigned
- Oct 5, 2015
- 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 | PS36961 | FL | Primary |
Addresses
Primary practice location
3450 Bayside Lakes Shopping Center
Palm Bay, FL 32909
Mailing address
3450 Bayside Lakes
Palm Bay, FL 32909
Phone (321) 525-5735
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS36961 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1194195016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 BAYSIDE LAKES",
"city": "PALM BAY",
"state": "FL",
"postal_code": "32909",
"telephone_number": "321-525-5735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 BAYSIDE LAKES SHOPPING CENTER",
"city": "PALM BAY",
"state": "FL",
"postal_code": "32909",
"telephone_number": "321-525-5735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.