Golder Professional Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

18946 Issued in TX

Legal business name

GOLDER PROFESSIONAL PHARMACY INC

Doing business as

GOLDER PHARMACY

Practice address

319 Golder Ave
Odessa, TX 79761-5009

Phone

(432) 337-7311

Fax

(432) 335-8327

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Kara McKinzie

Title

VP and Owner

Phone

(432) 337-7311

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GOLDER PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1710076401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 GOLDER AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615009",
            "telephone_number": "432-337-7311",
            "fax_number": "432-335-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 GOLDER AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615009",
            "telephone_number": "432-337-7311",
            "fax_number": "432-335-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDER PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "MCKINZIE",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "VP AND OWNER",
        "authorized_official_telephone_number": "432-337-7311"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "18946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144966",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2103295",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glori E. Ferguson
• GMG Medical Supply LTD
• James B Goates, DDS
• Mica Leigh Gober, CCC-SLP
• Sreedevi Godey, M.D.
• Shari Golenski
• George F Gomez, LPC
• Mayra Lorena Gomez
• Vickie Gomez
• Jaques Gontijo Mezencio, DDS

• Community/Retail Pharmacy in Odessa, TX
• Providers in Odessa, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.