Kelly Goble, PHARMD
Individual provider Active NPI Pharmacist · Taneytown, MD
NPI 1609324375 · NPPES record last updated Sep 12, 2016
Key facts
- NPI
- 1609324375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 24353 (MD)
- Practice address
- 509 E Baltimore St
Taneytown, MD 21787-2409 - Phone
- (410) 756-2548
- NPI assigned
- Sep 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24353 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24353 | MD | Yes |
Addresses
Primary practice location
509 E Baltimore St
Taneytown, MD 21787-2409
Mailing address
509 E Baltimore St
Taneytown, MD 21787-2409
Other providers in Taneytown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.