Active NPI
John Goode
- Pharmacist
- Far Rockaway, NY
National Provider Identifier
1669674990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 035775-1
- Practice address
- 327 Beach 19TH St
Far Rockaway, NY 11691-4423 - Phone
- (718) 869-3700
- NPI assigned
- May 31, 2007
- Last updated
- Oct 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 035775-1 | NY | |
| Pharmacist | 183500000X | 035775-1 | NY | Primary |
Addresses
Primary practice location
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Mailing address
14615 177TH St
Jamaica, NY 11434-5413
Phone (718) 712-2572
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 |
|---|---|---|---|
| 035775-1 | NY | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lex Drugs RX Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1669674990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14615 177TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114345413",
"telephone_number": "718-712-2572",
"fax_number": "718-172-2572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 BEACH 19TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914423",
"telephone_number": "718-869-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "035775-1",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "035775-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.