Active NPI
Callie Elaine Goeke, PHARM D.
- Pharmacist
- West Frankfort, IL
National Provider Identifier
1457953796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.298564
- Practice address
- 309 W Saint Louis St
West Frankfort, IL 62896-2099 - Phone
- (618) 937-2416
- NPI assigned
- Nov 11, 2020
- Last updated
- Nov 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.298564 | IN | |
| Pharmacist | 183500000X | PS59886 | FL | |
| Pharmacist | 183500000X | 2015030935 | MO | |
| Pharmacist | 183500000X | 051.298564 | IL | Primary |
Addresses
Primary practice location
309 W Saint Louis St
West Frankfort, IL 62896-2099
Mailing address
309 W Saint Louis St
West Frankfort, IL 62896-2099
Phone (618) 937-2416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051.298564 | Other | IL | IL LICENSE NUMBER |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS59886 | FL | MD | Pharmacist |
| 051.298564 | IL | MD | Pharmacist |
| 051.298564 | IN | MD | Pharmacist |
| 2015030935 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1457953796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W SAINT LOUIS ST",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628962099",
"telephone_number": "618-937-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W SAINT LOUIS ST",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628962099",
"telephone_number": "618-937-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEKE",
"first_name": "CALLIE",
"middle_name": "ELAINE",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "051.298564",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59886",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2015030935",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.298564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE NUMBER",
"identifier": "051.298564",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.