Active NPI
Christina Goans, PHARMD
- Pharmacist
- Lebanon, MO
National Provider Identifier
1275045940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2016036518
- Practice address
- 200 Hospital Dr
Lebanon, MO 65536-9215 - Phone
- (417) 533-6770
- Fax
- (417) 533-7777
- NPI assigned
- Nov 2, 2017
- Last updated
- Oct 4, 2023
- 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 | PD14261 | AR | |
| Pharmacist | 183500000X | 2016036518 | MO | Primary |
Addresses
Primary practice location
200 Hospital Dr
Lebanon, MO 65536-9215
Mailing address
PO Box 122
Lebanon, MO 65536-0122
Phone (417) 718-7202
Other practice location 1
1010 Worley Dr
West Plains, MO 65775-5257
Phone (417) 255-8880
Other practice location 2
350 Highway 62 E
Mountain Home, AR 72653-3629
Phone (870) 424-3814
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PD14261 | Other | AR | ARKANSAS BOARD OF PHARMACY |
| 2016036518 | Other | MO | MISSOURI BOARD OF PHARMACY LICENSE NUMBER |
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 |
|---|---|---|---|
| PD14261 | AR | MD | Pharmacist |
| 2016036518 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1275045940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122",
"city": "LEBANON",
"state": "MO",
"postal_code": "655360122",
"telephone_number": "417-718-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOSPITAL DR",
"city": "LEBANON",
"state": "MO",
"postal_code": "655369215",
"telephone_number": "417-533-6770",
"fax_number": "417-533-7777"
}
],
"practiceLocations": [
{
"address_1": "1010 Worley Dr",
"address_purpose": "LOCATION",
"city": "West Plains",
"state": "MO",
"postal_code": "657755257",
"country_code": "US",
"telephone_number": "417-255-8880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 Highway 62 E",
"address_purpose": "LOCATION",
"city": "Mountain Home",
"state": "AR",
"postal_code": "726533629",
"country_code": "US",
"telephone_number": "870-424-3814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOANS",
"first_name": "CHRISTINA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14261",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2016036518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS BOARD OF PHARMACY",
"identifier": "PD14261",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD OF PHARMACY LICENSE NUMBER",
"identifier": "2016036518",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.