Samuel Erwin Goodwin, MBA, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

RPT00529 Issued in FL

Practice address

7290 55TH Ave E
Bradenton, FL 34203-8002

Phone

(941) 727-8412

Fax

(941) 727-8195

NPI assigned

Nov 16, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1679874036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 55TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342038002",
            "telephone_number": "941-727-8412",
            "fax_number": "941-727-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 55TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342038002",
            "telephone_number": "941-727-8412",
            "fax_number": "941-727-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "SAMUEL",
        "middle_name": "ERWIN",
        "name_prefix": "Mr.",
        "credential": "MBA, CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "RPT00529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTCB",
            "identifier": "4701-0109-0250-425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Medicine, Inc.
• Good Samaritan Home Health LLC
• Karen Gooden
• Steven J Gooding, A.P.
• Goodlad Therapy Services, PLLC
• Igal Gorbut, MD
• Amparo Leilah Gordian, MD
• Andrew Gordon
• Clifford Wayne Gordon Jr., DO
• Elyse Gordon

• Pharmacy Technician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pharmacy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.