Andrew Raymond Goodall, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

82588 Issued in CA

Practice address

3940 4TH Ave Ste 150
San Diego, CA 92103-7193

Phone

(619) 574-9700

NPI assigned

Jul 30, 2019

Last updated

Jul 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid of Ohio Inc

  dba Rite Aid Pharmacy 02441

  • Community/Retail Pharmacy
  • Marysville, OH
  • NPI 1871602151
  NPD (past)

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1457905127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 MICHIGAN AVE APT 303",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 4TH AVE STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037193",
            "telephone_number": "619-574-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODALL",
        "first_name": "ANDREW",
        "middle_name": "RAYMOND",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03438640",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "20561",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Anesthesia Inc
• Lori Corrine Good, DDS
• Taylor Good
• Tida Good, R.N.
• Ashley Kristen Goodacre, PA-C
• Christina Goodall
• Jeffrey D Goodan, CRNA
• Cristin Lynn Goodbody
• Goodchoice Medical Supplies, LLC
• Isabelle Goode

• Pharmacist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.