Mary Patricia Goebel, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

18391 Issued in IA

Practice address

3105 Grand Ave
Ames, IA 50010-4604

Phone

(515) 233-1736

NPI assigned

Aug 29, 2019

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

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1396393666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 GRAND AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104201",
            "telephone_number": "515-233-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 GRAND AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104604",
            "telephone_number": "515-233-1736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500104604",
            "country_code": "US",
            "telephone_number": "515-233-1739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IA",
            "license": "18391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad A Gidel, OD
• Charles K. Gilarski, D.P.M.
• Richard L. Glenn Jr., D.O.
• Gloria Billings, Lisw, Acsw, PLC
• Joseph W Glotfelty
• Shobhadarshini Gogoi, M.D.
• James Dennis Gohman, M.D.
• Ava Golchin, M.D.
• Nima Ahmad Golchin, M.D.
• Jodi A. Goldsberry, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ames, IA
• Providers in Ames, IA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.