William Goldstein, RPH
Individual provider Active NPI Pharmacist · Conifer, CO
NPI 1295035996 · NPPES record last updated Nov 2, 2010
Key facts
- NPI
- 1295035996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13501 (CO)
- Practice address
- 27152 Main St
Conifer, CO 80433-8546 - Phone
- (303) 838-7859
- Fax
- (303) 838-4375
- NPI assigned
- Oct 27, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13501 | CO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13501 | CO | Yes |
| Pharmacist | 183500000X | 10995 | WI |
Addresses
Primary practice location
27152 Main St
Conifer, CO 80433-8546
Mailing address
27152 Main St
Conifer, CO 80433-8546
Phone (303) 838-7859
Other providers in Conifer, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.