Active NPI
Donald Ray Godwin, B.S.
- Pharmacist
- Pelham, AL
National Provider Identifier
1225349996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11959
- Practice address
- 2101 Pelham Pkwy
Pelham, AL 35124-1116 - Phone
- (205) 985-4895
- NPI assigned
- Jun 28, 2010
- Sex
- Male
- 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 | 11959 | AL | Primary |
Addresses
Primary practice location
2101 Pelham Pkwy
Pelham, AL 35124-1116
Mailing address
204 Ivy Brook TRL
Pelham, AL 35124-1996
Phone (205) 533-0861
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11959 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1225349996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 IVY BROOK TRL",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241996",
"telephone_number": "205-533-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 PELHAM PKWY",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241116",
"telephone_number": "205-985-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODWIN",
"first_name": "DONALD",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-28",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pelham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.