Active NPI
Nancy O Goldsby
- Pharmacist
- Tallahassee, FL
National Provider Identifier
1316542145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS23107
- Practice address
- 822 W Pensacola St
Tallahassee, FL 32304-8036 - Phone
- (850) 841-1049
- Fax
- (850) 841-1059
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- Sex
- Female
- 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 | PS23107 | FL | Primary |
Addresses
Primary practice location
822 W Pensacola St
Tallahassee, FL 32304-8036
Mailing address
822 W Pensacola St
Tallahassee, FL 32304-8036
Phone (850) 841-1049
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rx10482@CVSHealth.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS23107 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | 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, 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": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1316542145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 W PENSACOLA ST",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323048036",
"telephone_number": "850-841-1049",
"fax_number": "850-841-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 W PENSACOLA ST",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323048036",
"telephone_number": "850-841-1049",
"fax_number": "850-841-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSBY",
"first_name": "NANCY",
"middle_name": "O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS23107",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rx10482@CVSHealth.com",
"affiliation": "N",
"endpointDescription": "practice email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "822 W Pensacola St",
"city": "Tallahassee",
"state": "FL",
"country_code": "US",
"postal_code": "323048036",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.