Victoria Goodman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-16591 Issued in MS

Practice address

1778 Highway 1 S
Greenville, MS 38701-7801

Phone

(662) 332-0231

Fax

(662) 332-0232

NPI assigned

Aug 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Greenville, MS
  • NPI 1487688263
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1659982247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 BRANCH CREEK DR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728953",
            "telephone_number": "601-927-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017801",
            "telephone_number": "662-332-0231",
            "fax_number": "662-332-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "VICTORIA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-16591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.goodman@kroger.com",
            "affiliation": "Y",
            "endpointDescription": "business email",
            "affiliationName": "Kroger Limited Partnership I",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "1778 Highway 1 S",
            "city": "Greenville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "387017801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregg A Gober, MD
• Sarah Elizabeth Goff, APRN
• Golden Embrace Home Care
• Golden Journey Transit LLC
• Good Samaritan Clinic of Washington County Inc.
• Grace Covenant Services, LLC
• Carolyn Williams Grant, MSW,PCMHT
• Green Leaf Home Care, L.L.C
• Lemarrick Green, MHT
• Nellie Green

• Pharmacist in Greenville, MS
• Providers in Greenville, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.