Phyllis Lee McGoodwin, PHARM D

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

9067 Issued in OK

Practice address

940 NE 13TH St
Room 3510
Oklahoma City, OK 73104-5008

Phone

(405) 271-5062

Fax

(405) 271-1816

NPI assigned

Jan 30, 2007

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

Other names 1

• Dr. P Lee McGoodwin Professional name

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427195684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 THOMPKINS PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731625325",
            "telephone_number": "405-271-5062",
            "fax_number": "405-271-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 NE 13TH ST",
            "address_2": "ROOM 3510",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045008",
            "telephone_number": "405-271-5062",
            "fax_number": "405-271-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOODWIN",
        "first_name": "PHYLLIS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OK",
            "license": "9067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "P",
            "last_name": "MCGOODWIN",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "PHARM D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kelsey McGinnis
• Michael Dewitt McGinnis, M.D.
• Kyle V McGivern, DO
• Christine Nicole McGlashen, LCSW
• Michelle Joann McGolden, ARNP
• Catherine McGough, CCC-SLP
• Keely McGough, DNP
• Alexandra Paige McGowan-Rayburn
• Brianna McGowan, P.A.
• Connor McGowan, DMD

• Pharmacotherapy Pharmacist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pharmacotherapy Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.