Edie B Gouge, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

TN8507 Issued in TN

Practice address

3111 Browns Mill Rd
Johnson City, TN 37604-1418

Phone

(423) 282-9484

Fax

(423) 282-8553

NPI assigned

Jan 17, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1669980132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 BROWNS MILL RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041418",
            "telephone_number": "423-282-9484",
            "fax_number": "423-282-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 BROWNS MILL RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041418",
            "telephone_number": "423-282-9484",
            "fax_number": "423-282-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGE",
        "first_name": "EDIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "TN",
            "license": "TN8507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Gore
• Paul William Gorman, M.D.
• James A Goss, M.D.
• Gretel L Gossett, M.S. CF-SLP
• Kyle Dane Gotfried, MD
• Clarence E Goulding III, MD
• Sagar Goyal, MD
• Grace Internal Medicine, LLC
• Grace Services, LLC (Grace Health Services)
• Matthew Grace, AGNP-C

• Ambulatory Care Pharmacist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Ambulatory Care Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.