Active NPI
Tamara Rhea Goff, RPH
- Pharmacist
- Beaver Dam, KY
National Provider Identifier
1457725897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8596
- Practice address
- 1209 N Main St
Beaver Dam, KY 42320-8955 - Phone
- (270) 274-3318
- NPI assigned
- Nov 23, 2015
- Last updated
- Apr 17, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8596 | KY | Primary |
| Pharmacist | 183500000X | 5246 | TN |
Addresses
Primary practice location
1209 N Main St
Beaver Dam, KY 42320-8955
Mailing address
1209 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 274-3318
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5246 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1457725897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 N MAIN ST",
"city": "BEAVER DAM",
"state": "KY",
"postal_code": "423208955",
"telephone_number": "270-274-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 N MAIN ST",
"city": "BEAVER DAM",
"state": "KY",
"postal_code": "423208955",
"telephone_number": "270-274-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "TAMARA",
"middle_name": "RHEA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-23",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "8596",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "5246",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver Dam, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.