Goodheart Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482140 Issued in PA

Legal business name

GOODHEART PHARMACY INC

Practice address

4835 Woodland Ave
Philadelphia, PA 19143-4433

Phone

(215) 724-3300

Fax

(215) 724-3301

NPI assigned

May 31, 2011

Organization subpart

No

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

Authorized official

Name

Obioma AguochaNPI 1528660537

Title

Pharmacist Incharge

Phone

(215) 724-3300

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Goodheart pharmacy inc Doing business as

Tax ID family

Goodheart Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goodheart Pharmacy

  • Health Maintenance Organization
  • Philadelphia, PA
  • NPI 1033505730
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Obioma U Aguocha

  • Pharmacist
  • Upper Chichester, PA
  • NPI 1528660537
  NPD Authorized official

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1659665271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434433",
            "telephone_number": "215-724-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434433",
            "telephone_number": "215-724-3300",
            "fax_number": "215-724-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODHEART PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "AGUOCHA",
        "authorized_official_first_name": "OBIOMA",
        "authorized_official_title_or_position": "PHARMACIST INCHARGE",
        "authorized_official_telephone_number": "215-724-3300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482140",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025852210001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130575",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodheart pharmacy inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Goode, PHARMD, BCACP
• Chanell-Nicole Gooden, MFT
• Elliot Goodenough, MD, PHD
• Evan Malcolm Goodfellow
• Goodheart Pharmacy
• Nichola Goodin, PA-C
• Anita Reinette Gooding, LSW
• Anne Goodman
• Carla Renee Goodman, LCSW
• Daniel Goodman, DO

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.