Matthew Godwin

Primary specialty

PharmacistTaxonomy code 183500000X

License

S020170 Issued in AZ

Practice address

1615 E Baseline Rd
Phoenix, AZ 85042-6801

Phone

(602) 276-6001

NPI assigned

Jun 12, 2014

Last updated

Jun 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1629482229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 E BASELINE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426801",
            "telephone_number": "602-276-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 E BASELINE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426801",
            "telephone_number": "602-276-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S020170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Godoy, P.A.-C
• Marta Yanneth Godoy, M.A.
• Ishan Godra, D.O.
• Varshita Goduguchinta, DO
• Ebony Boswell Godwin
• Patrick Godwin
• Randall R Godwin, M.ED., LIAC
• IV Godzdanker, M.D.
• Laura Danielle Goedhart, DPT
• Breanne Francine Goegan, PAC

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.