Kelly Lynn Good, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

20294 Issued in IA

Practice address

3887 Elmore Ave
Davenport, IA 52807-2504

Phone

(563) 344-4232

Fax

(563) 344-4744

NPI assigned

Dec 16, 2020

Last updated

Dec 16, 2020By the provider in NPPES

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

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": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1386230092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 ELMORE AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072504",
            "telephone_number": "563-344-4232",
            "fax_number": "563-344-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 ELMORE AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072504",
            "telephone_number": "563-344-4232",
            "fax_number": "563-344-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "20294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Goldermann, RDN, LD, CLC
• Kallina Goldsby, PMHNP
• Lidia Guadalupe Gomez, D.C.
• Jessica Gonzales
• Mayra Lizbeth Gonzalez, APRN
• Michael C Goodall, RNFA
• Kathleen Marie Goodworth
• Gordon R Johnson D O P C
• Emily Gordon, LMHC
• Jeffrey C Goree, MD

• Pharmacist in Davenport, IA
• Providers in Davenport, IA by specialty
• Pharmacist in Iowa

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