Individual provider Active NPI

Elizabeth Xochitl Goudy, RPH

  • Pharmacist
  • Highlands Ranch, CO
National Provider Identifier
1295179133
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11235 Issued in CO
Practice address
2205 W Wildcat Reserve Pkwy
Highlands Ranch, CO 80129-5496
Phone
(720) 344-0334
Fax
(720) 344-4348
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11235 CO Primary

Addresses

Primary practice location

2205 W Wildcat Reserve Pkwy
Highlands Ranch, CO 80129-5496

Mailing address

2205 W Wildcat Reserve Pkwy
Highlands Ranch, CO 80129-5496
Phone (720) 344-0334

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

LicenseStateTypeSpecialty
11235COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Companies LLC Past Accepting new patients
Dillon Companies 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1295179133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W WILDCAT RESERVE PKWY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295496",
            "telephone_number": "720-344-0334",
            "fax_number": "720-344-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W WILDCAT RESERVE PKWY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295496",
            "telephone_number": "720-344-0334",
            "fax_number": "720-344-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDY",
        "first_name": "ELIZABETH",
        "middle_name": "XOCHITL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "11235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.