Active NPI
Jennifer D. Goldman, PHARM.D., CDE
- Pharmacotherapy Pharmacist
- Peabody, MA
National Provider Identifier
1396747192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 20983
- Practice address
- 2 1St Ave
Well Life
Peabody, MA 01960-4959 - Phone
- (978) 740-2300
- Fax
- (978) 744-5148
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 20983 | MA | Primary |
Addresses
Primary practice location
2 1St Ave
Well Life
Peabody, MA 01960-4959
Mailing address
179 Longwood Ave
Boston, MA 02115-5804
Phone (617) 732-2917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20983 | MA | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McPhs University | Past | Accepting new patients | |
| Forsyth Hygiene Program | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Boston, MA
- NPI 1114124765
-
- Clinic/Center
- Boston, MA
- NPI 1750799110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1396747192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155804",
"telephone_number": "617-732-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 1ST AVE",
"address_2": "WELL LIFE",
"city": "PEABODY",
"state": "MA",
"postal_code": "019604959",
"telephone_number": "978-740-2300",
"fax_number": "978-744-5148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "JENNIFER",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PHARM.D., CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MA",
"license": "20983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.