Good Life Apothecary, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GOOD LIFE APOTHECARY, INC

Practice address

3212 Penn Ave # 8
Charleston, WV 25302-4537

Phone

(304) 345-8600

Fax

(304) 345-8602

NPI assigned

Jul 15, 2014

Organization subpart

No

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

Authorized official

Name

Patrick GoodNPI 1184258600

Title

Owner

Phone

(304) 552-8765

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Joesph Good, RPH

  • Pharmacist
  • Charleston, WV
  • NPI 1184258600
  NPD (past) Authorized official

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1720495401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 PENNSYLVANIA AVE # 8",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253024537",
            "telephone_number": "304-345-8600",
            "fax_number": "304-345-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 PENN AVE # 8",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253024537",
            "telephone_number": "304-345-8600",
            "fax_number": "304-345-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE APOTHECARY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-552-8765"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910006007",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gomez
• Anthony Gonzales, PRSS
• Jannette Gonzalez Santigo
• Daniel Ricardo Gonzalez, MD
• Kristal Lynn Gonzin
• Carlea Good
• Celia Good
• David Matthew Good, BA
• Kelly Jean Good
• Pamela Kay Good

• Community/Retail Pharmacy in Charleston, WV
• Providers in Charleston, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.