Active NPI
John Gilbert Goenner, PHARMD, RPH
- Pharmacist
- Buffalo, MN
National Provider Identifier
1508437294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125147
- Practice address
- 1002 Highway 25 N
Buffalo, MN 55313-1920 - Phone
- (763) 682-6354
- NPI assigned
- Jul 5, 2021
- Sex
- Male
- 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 | 125147 | MN | Primary |
Addresses
Primary practice location
1002 Highway 25 N
Buffalo, MN 55313-1920
Mailing address
1002 Highway 25 N
Buffalo, MN 55313-1920
Phone (763) 682-6354
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125147 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1002 Highway 25 N
Buffalo, MN 55313
Phone (763) 682-6354
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 and National Provider Directory roles.
-
- Pharmacy
- Buffalo, MN
- NPI 1588947709
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1508437294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 HIGHWAY 25 N",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131920",
"telephone_number": "763-682-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 HIGHWAY 25 N",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131920",
"telephone_number": "763-682-6354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOENNER",
"first_name": "JOHN",
"middle_name": "GILBERT",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-05",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.