William Calvin Goss
Organization Active NPI Community/Retail Pharmacy · Greenville, CA
NPI 1730217142 · NPPES record last updated Jun 14, 2011
Key facts
- NPI
- 1730217142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY40406 (CA)
- Legal business name
- WILLIAM CALVIN GOSS
- Practice address
- 225 Main St
Greenville, CA 95947-9707 - Phone
- (530) 284-6618
- Fax
- (530) 284-6940
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Kevin Goss
- Title
- Pharm Tech
- Phone
- (530) 284-6618
Practitioners 1
National Provider Directory
Locations
225 Main St
Greenville, CA 95947
Phone (530) 284-6618
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY40406 | CA | Yes |
Addresses
Primary practice location
225 Main St
Greenville, CA 95947-9707
Mailing address
PO Box 39
Greenville, CA 95947-0039
Phone (530) 284-6618
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0593524 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| PHA404060 | Medicaid | CA |
Other names
- VILLAGE DRUG CO
Other providers in Greenville, CA
All providers in Greenville, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.