Alexa Jean Goodman

Primary specialty

PharmacistTaxonomy code 183500000X

License

S024811 Issued in AZ

Practice address

13733 N Fountain Hills Blvd
Fountain Hills, AZ 85268-3730

Phone

(480) 837-1690

NPI assigned

Aug 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1366054553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S GREENFIELD RD UNIT 1155",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063498",
            "telephone_number": "801-910-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13733 N FOUNTAIN HILLS BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683730",
            "telephone_number": "480-837-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ALEXA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Christine Giddens, CF-SLP
• Daniel H Gilbert, DDS
• Christina Godwin, PTA
• Katie Marie Golbeck, LCSW
• Natalie Gomez
• Paul Joseph Goodman, PTA
• Jaime Gordon
• Esther C Gorgol
• Kristin Gorski, M.S.,CCC-SLP
• Monica Goudey

• Pharmacist in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.