Individual provider Active NPI

Thomas W Goebig, RPH, PHARMD

  • Pharmacist
  • Sun City West, AZ
National Provider Identifier
1558403295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S13463 Issued in AZ
Practice address
13503 W Camino del Sol
Sun City West, AZ 85375-4439
Phone
(623) 584-0501
Fax
(623) 546-5538
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S13463 AZ Primary

Addresses

Primary practice location

13503 W Camino del Sol
Sun City West, AZ 85375-4439

Mailing address

13701 N 71St Dr
Peoria, AZ 85381-5094
Phone (623) 584-0501

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

LicenseStateTypeSpecialty
S13463AZMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558403295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 N 71ST DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815094",
            "telephone_number": "623-584-0501",
            "fax_number": "623-546-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13503 W CAMINO DEL SOL",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754439",
            "telephone_number": "623-584-0501",
            "fax_number": "623-546-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBIG",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S13463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.