Gregory Larkin Goodson, NRPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

10553 Issued in AL

Practice address

612 N Main St
Suite a
Enterprise, AL 36330-1775

Phone

(334) 393-0086

Fax

(334) 393-0206

NPI assigned

Jun 1, 2007

Sex

Male

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

State licenses

Practice roles

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.

• Holley Pharmacy Inc

  • Community/Retail Pharmacy
  • Enterprise, AL
  • NPI 1568822021
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1194927178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "DALEVILLE",
            "state": "AL",
            "postal_code": "363220154",
            "telephone_number": "334-347-2449",
            "fax_number": "334-393-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N MAIN ST",
            "address_2": "SUITE A",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301775",
            "telephone_number": "334-393-0086",
            "fax_number": "334-393-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "GREGORY",
        "middle_name": "LARKIN",
        "name_prefix": "Mr.",
        "credential": "NRPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "AL",
            "license": "10553",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "10553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacinda Glass, RPH
• Cheyenne Cierria Godwin, PHARMD
• Cheryl Marie Gomez, LICSW
• Angie Gonzalez
• Sonya Goodpaster, LPC
• Tabitha Aillene Gressard, PSYD
• Kerri Lane Griffin, CRNP
• Laura Stanford Griffin, PHARM.D.
• Sandy Lafaye Griffin, CRNA
• James T Grimes Jr., DMD

• Pharmacist in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.