Active NPI
Bernard J Goodman, RPH
- Pharmacist
- Potomac, MD
National Provider Identifier
1194927756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11382
- Practice address
- 9812 Falls Rd
Potomac, MD 20854-3976 - Phone
- (301) 983-4217
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 11382 | MD | Primary |
Addresses
Primary practice location
9812 Falls Rd
Potomac, MD 20854-3976
Mailing address
2107 Dumfries Ter
Olney, MD 20832-1663
Phone (301) 404-5163
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11382 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194927756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 DUMFRIES TER",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321663",
"telephone_number": "301-404-5163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9812 FALLS RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543976",
"telephone_number": "301-983-4217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "BERNARD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "11382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.