Active NPI
Amanda Goodson, PHARMD
- Pharmacist
- Decatur, GA
National Provider Identifier
1467842971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031320
- Practice address
- 2155 N Decatur Rd
Decatur, GA 30033-5307 - Phone
- (404) 638-6166
- NPI assigned
- Feb 4, 2015
- Last updated
- Apr 18, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH031320 | GA | Primary |
Addresses
Primary practice location
2155 N Decatur Rd
Decatur, GA 30033-5307
Mailing address
2155 N Decatur Rd
Decatur, GA 30033-5307
Other practice location 1
2900 Peachtree Rd NW
Atlanta, GA 30305-4915
Phone (404) 848-0336
Other practice location 2
4825 Marburg Ave Unit A
Cincinnati, OH 45209-5013
Phone (513) 631-5717
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 |
|---|---|---|---|
| RPH031320 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Publix Pharmacy #0723
- Community/Retail Pharmacy
- Decatur, GA
- NPI 1447299458
-
dba Publix Pharmacy #2107
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1467842971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335307",
"telephone_number": "404-638-6166"
}
],
"practiceLocations": [
{
"address_1": "2900 Peachtree Rd NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303054915",
"country_code": "US",
"telephone_number": "404-848-0336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4825 Marburg Ave Unit A",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452095013",
"country_code": "US",
"telephone_number": "513-631-5717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODSON",
"first_name": "AMANDA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.