Active NPI
Kate Goodspeed, B.S., M.A., PHARM.D.
- Pharmacist
- San Antonio, TX
National Provider Identifier
1730583287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55500
- Practice address
- 3401 San Pedro Ave
San Antonio, TX 78212-2252 - Phone
- (210) 738-2414
- NPI assigned
- Oct 13, 2014
- Sex
- Female
- 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 | 55500 | TX | Primary |
Addresses
Primary practice location
3401 San Pedro Ave
San Antonio, TX 78212-2252
Mailing address
3401 San Pedro Ave
San Antonio, TX 78212-2252
Phone (210) 738-2414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55500 | Other | TX | TSBP LICENSE |
| 183500000X | Other | TX | TAXONOMY |
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
- Bachelor of Science, Master of Arts, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55500 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
-
- Pharmacy
- San Antonio, TX
- NPI 1902811912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1730583287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 SAN PEDRO AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782122252",
"telephone_number": "210-738-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 SAN PEDRO AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782122252",
"telephone_number": "210-738-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSPEED",
"first_name": "KATE",
"credential": "B.S., M.A., PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-13",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TSBP LICENSE",
"identifier": "55500",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "183500000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.