Goodwill Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482104 Issued in PA

Legal business name

GOODWILL PHARMACY INC

Doing business as

Goodwill Pharmacy

Practice address

2602 Wilmington Rd
# 100
New Castle, PA 16105-1537

Phone

(724) 202-6297

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

Ramprakash Narayanakumar

Title

Director

Phone

(724) 202-6297

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Goodwill Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1417246299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 WILMINGTON RD",
            "address_2": "# 100",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051537",
            "telephone_number": "724-202-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 WILMINGTON RD",
            "address_2": "# 100",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051537",
            "telephone_number": "724-202-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "NARAYANAKUMAR",
        "authorized_official_first_name": "RAMPRAKASH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "724-202-6297"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482104",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3995240",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Barbara Ann Graziani, RPH

• Community/Retail Pharmacy in New Castle, PA
• Providers in New Castle, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.