Active NPI
Brianna Marie Goll, PHARMD
- Pharmacist
- Spokane, WA
National Provider Identifier
1528354875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60215210
- Practice address
- 3919 N Maple St
Spokane, WA 99205-1349 - Phone
- (509) 444-8888
- NPI assigned
- Jun 24, 2011
- 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 | PH60215210 | WA | Primary |
Addresses
Primary practice location
3919 N Maple St
Spokane, WA 99205-1349
Mailing address
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
Other practice location 1
2405 S Steen Rd
Spokane Valley, WA 99037-8007
Phone (509) 398-1437
Other practice location 2
2405 S Steen Rd
Spokane Valley, WA 99037-8007
Phone (509) 398-1437
Other practice location 3
1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH60215210 | Other | WA | PHARMACIST LICENSE |
| P6580 | Other | ID | PHARAMCIST LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60215210 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1528354875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N IRON BRIDGE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024932",
"telephone_number": "509-444-8888",
"fax_number": "509-444-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 N MAPLE ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992051349",
"telephone_number": "509-444-8888"
}
],
"practiceLocations": [
{
"address_1": "2405 S Steen Rd",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "990378007",
"country_code": "US",
"telephone_number": "509-398-1437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2405 S Steen Rd",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "990378007",
"country_code": "US",
"telephone_number": "509-398-1437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1502 N Vercler Rd",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "99216",
"country_code": "US",
"telephone_number": "509-444-8204",
"fax_number": "509-434-0321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLL",
"first_name": "BRIANNA",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-24",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60215210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PH60215210",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARAMCIST LICENSE",
"identifier": "P6580",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.