Active NPI
Leah M Goeres, PHARM D.
- Pharmacist
- Klamath Falls, OR
National Provider Identifier
1487938056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PI-0010670
- Practice address
- 2740 S 6TH St
Klamath Falls, OR 97603-4604 - Phone
- (541) 273-3515
- NPI assigned
- Sep 30, 2011
- Last updated
- Sep 30, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PI-0010670 | OR | Primary |
Addresses
Primary practice location
2740 S 6TH St
Klamath Falls, OR 97603-4604
Mailing address
2292 SW Vermont St
Portland, OR 97219-9431
Phone (541) 591-2989
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 |
|---|---|---|---|
| PI-0010670 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1487938056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2292 SW VERMONT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972199431",
"telephone_number": "541-591-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 S 6TH ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976034604",
"telephone_number": "541-273-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOERES",
"first_name": "LEAH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "PI-0010670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.