Danielle Goudreau, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

5302041299 Issued in MI

Practice address

2864 Ashmun St
Sault Sainte Marie, MI 49783-3740

Phone

(906) 341-9560

Fax

(906) 341-9560

NPI assigned

Apr 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Danielle Reid Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1376163279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833740",
            "telephone_number": "906-341-9560",
            "fax_number": "906-341-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833740",
            "telephone_number": "906-341-9560",
            "fax_number": "906-341-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDREAU",
        "first_name": "DANIELLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MI",
            "license": "5302041299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "REID",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Gilbert
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• Robert Geoffrey Girolamo, CRNA
• Benjamin Isaac Gluck, MD
• Charla V Gordon, MNT
• Lisa E Goulet, M.A., CCC-SLP
• Carrie Gray, BCBA-D
• Great Lakes Allergy and Asthma Center, P.C.
• Great Lakes Christina Counseling Services
• Great Lakes Recovery Centers

• Ambulatory Care Pharmacist in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Ambulatory Care Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.