Individual provider Active NPI

Stella Goldman, RPH

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1427372853
Registry record updated Mar 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
045876 Issued in NY
Practice address
125 Oceana Dr E
Apt # PH1D
Brooklyn, NY 11235-6691
Phone
(718) 644-4590
Fax
(212) 233-0444
NPI assigned
Mar 14, 2010
Last updated
Mar 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 045876 NY Primary

Addresses

Primary practice location

125 Oceana Dr E
Apt # PH1D
Brooklyn, NY 11235-6691

Mailing address

125 Oceana Dr E
Apt # PH1D
Brooklyn, NY 11235-6691
Phone (718) 644-4590

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
045876NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1268524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268524800000",
    "number": "1427372853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OCEANA DR E",
            "address_2": "APT # PH1D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356691",
            "telephone_number": "718-644-4590",
            "fax_number": "212-233-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OCEANA DR E",
            "address_2": "APT # PH1D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356691",
            "telephone_number": "718-644-4590",
            "fax_number": "212-233-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "STELLA",
        "name_prefix": "Miss",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-14",
        "last_updated": "2010-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2010; 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.