Active NPI
Barbara A Goodwin, RPH,M.S.
- Pharmacist
- Beaufort, SC
National Provider Identifier
1356313803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3420
- Practice address
- 1094 Ribaut Rd
Beaufort, SC 29902-5437 - Phone
- (843) 524-3777
- Fax
- (843) 524-3776
- NPI assigned
- Feb 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4223436 | SC | |
| Pharmacist | 183500000X | 3420 | SC | Primary |
Addresses
Primary practice location
1094 Ribaut Rd
Beaufort, SC 29902-5437
Mailing address
61 Sunset Blvd
Beaufort, SC 29907-1416
Phone (912) 655-9080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE1808 | Medicaid | SC | |
| 571089983 | Other | SC | TAX IDENTIFICATION NUMBER |
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
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4223436 | SC | MD | Pharmacist |
| 3420 | SC | MD | Speech-Language Pathologist |
Interoperability endpoints
- https://api.platform.athenahealth.com/16330/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1356313803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 SUNSET BLVD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299071416",
"telephone_number": "912-655-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1094 RIBAUT RD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025437",
"telephone_number": "843-524-3777",
"fax_number": "843-524-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "BARBARA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "RPH,M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "4223436",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "3420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE1808",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "571089983",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.