Active NPI
Cathy Goodman, PHARM.D.
- Pharmacist
- Corning, AR
National Provider Identifier
1669721817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD08225
- Practice address
- 1109 W Main St
Corning, AR 72422-2040 - Phone
- (870) 857-0551
- NPI assigned
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD08225 | AR | Primary |
Addresses
Primary practice location
1109 W Main St
Corning, AR 72422-2040
Mailing address
1109 W Main St
Corning, AR 72422-2040
Phone (870) 857-0551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188903407 | Medicaid | AR |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD08225 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodman Drug Company PLLC | Current | Accepting new patients |
Locations
1109 W Main St
Corning, AR 72422
Phone (870) 857-0551
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Corning, AR
- NPI 1750663100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1669721817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 W MAIN ST",
"city": "CORNING",
"state": "AR",
"postal_code": "724222040",
"telephone_number": "870-857-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 W MAIN ST",
"city": "CORNING",
"state": "AR",
"postal_code": "724222040",
"telephone_number": "870-857-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "CATHY",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD08225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188903407",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corning, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.