Active NPI
Jason R Goodspeed
- Pharmacist
- Cambridge, NY
National Provider Identifier
1598088288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046774
- Practice address
- 2 N Park St
Cambridge, NY 12816-1105 - Phone
- (518) 677-3822
- NPI assigned
- Mar 9, 2010
- 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 | 046774 | NY | Primary |
Addresses
Primary practice location
2 N Park St
Cambridge, NY 12816-1105
Mailing address
4 Highland St
Greenwich, NY 12834-1134
Phone (518) 692-0276
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046774 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1598088288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 HIGHLAND ST",
"city": "GREENWICH",
"state": "NY",
"postal_code": "128341134",
"telephone_number": "518-692-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N PARK ST",
"city": "CAMBRIDGE",
"state": "NY",
"postal_code": "128161105",
"telephone_number": "518-677-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSPEED",
"first_name": "JASON",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.