Active NPI
Mary Rebecca Golden, PHARMD
- Pharmacist
- Terre Haute, IN
National Provider Identifier
1316388705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26023716A
- Practice address
- 15 Southland Shopping Ctr
Terre Haute, IN 47802-3943 - Phone
- (812) 232-6655
- Fax
- (812) 232-6588
- NPI assigned
- Jul 12, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26023716A | IN | Primary |
Addresses
Primary practice location
15 Southland Shopping Ctr
Terre Haute, IN 47802-3943
Mailing address
2007 Ridgeway Ave
Vincennes, IN 47591-5947
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 |
|---|---|---|---|
| 26023716A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jr Pharmacy LLC 2 | Past | Accepting new patients | |
| Jr Pharmacy LLC 2 | 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.
-
- Long Term Care Pharmacy
- Terre Haute, IN
- NPI 1154956118
-
- Community/Retail Pharmacy
- Terre Haute, IN
- NPI 1275601072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1316388705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 RIDGEWAY AVE",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475915947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SOUTHLAND SHOPPING CTR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023943",
"telephone_number": "812-232-6655",
"fax_number": "812-232-6588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "MARY",
"middle_name": "REBECCA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-12",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26023716A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.