Active NPI
Randall Charles Goss, PHARM.D.
- Pharmacist
- Rochester, MN
National Provider Identifier
1700258134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 118727
- Practice address
- 2020 Commerce Dr NW
Rochester, MN 55901-3246 - Phone
- (507) 286-1870
- NPI assigned
- Oct 26, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 118727 | MN | Primary |
Addresses
Primary practice location
2020 Commerce Dr NW
Rochester, MN 55901-3246
Mailing address
3115 Braemore LN SW
Rochester, MN 55902-1180
Phone (507) 529-5647
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 |
|---|---|---|---|
| 118727 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1700258134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 BRAEMORE LN SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559021180",
"telephone_number": "507-529-5647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 COMMERCE DR NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559013246",
"telephone_number": "507-286-1870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSS",
"first_name": "RANDALL",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.