Active NPI
Marissa Goad, PHARMD
- Pharmacist
- Usaf Academy, CO
National Provider Identifier
1205486792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0023485
- Practice address
- 4102 Pinion Dr
Usaf Academy, CO 80840-2502 - Phone
- (719) 333-2025
- NPI assigned
- Sep 16, 2019
- Last updated
- May 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S024277 | AZ | |
| Pharmacist | 183500000X | PHA.0023485 | CO | Primary |
Addresses
Primary practice location
4102 Pinion Dr
Usaf Academy, CO 80840-2502
Mailing address
600 Marshall Rd
Superior, CO 80027-9730
Phone (720) 587-1000
Other practice location 1
600 Marshall Rd
Superior, CO 80027-9730
Phone (720) 587-1000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Phoenix | ||
| Other URL | EPRN |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S024277 | AZ | MD | Pharmacist |
| PHA.0023485 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| German Dobson CVS LLC | Past | Accepting new patients | |
| German Dobson CVS LLC | Past | 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": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651363200000",
"number": "1205486792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 MARSHALL RD",
"city": "SUPERIOR",
"state": "CO",
"postal_code": "800279730",
"telephone_number": "720-587-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 PINION DR",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "808402502",
"telephone_number": "719-333-2025"
}
],
"practiceLocations": [
{
"address_1": "600 Marshall Rd",
"address_purpose": "LOCATION",
"city": "Superior",
"state": "CO",
"postal_code": "800279730",
"country_code": "US",
"telephone_number": "720-587-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOAD",
"first_name": "MARISSA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2022-05-01",
"certification_date": "2022-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024277",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0023485",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Phoenix",
"affiliation": "N",
"address_1": "3933 E Camelback Rd",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850182609",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EPRN",
"affiliation": "N",
"address_1": "17761 Cottonwood Dr",
"city": "Parker",
"state": "CO",
"country_code": "US",
"postal_code": "801343925",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Usaf Academy, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.