Tyrell R Goodrich, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

9230 Issued in OR

Practice address

2280 Ashland St
Ashland, OR 97520-1406

Phone

(541) 482-8191

NPI assigned

Feb 16, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1376816678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 ASHLAND ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201406",
            "telephone_number": "541-482-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 ASHLAND ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201406",
            "telephone_number": "541-482-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "TYRELL",
        "middle_name": "R",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "9230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "RPH-0009230",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph D Goldman, D.O.
• Asha Rose Goldstein, L.C.S.W.
• Gomez Physical Therapy LLC
• Emanuelle Gomez, LCSW
• Christine Read Gonzales, M.D.
• Goodrum Medical Services LLC
• Joshua Goodrum, DO
• Ruth A Gordner
• Deborah Lee Gordon, M.D.
• Melanie Gore

• Pharmacist in Ashland, OR
• Providers in Ashland, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.