Susanna Goodnite, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202211379 Issued in VA

Practice address

201 Greasy Ridge Rd
Princeton, WV 24739-6900

Phone

(304) 431-2105

Fax

(304) 431-2116

NPI assigned

Oct 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1326648056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 HICKORY GATE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247396823",
            "telephone_number": "919-619-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GREASY RIDGE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247396900",
            "telephone_number": "304-431-2105",
            "fax_number": "304-431-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNITE",
        "first_name": "SUSANNA",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007893",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202211379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Gonzalez-Belcher, LMT
• Tiffany Mae Gonzin
• Amy Morgan Goode, PAC
• Gavan Goode
• Tori Goodloe
• Hannah E Gordon
• Tonya Beth Gordon
• Alyssa Gore
• Destany Gore
• Tamala Lynn Gore, MSW

• Pharmacist in Princeton, WV
• Providers in Princeton, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.