Active NPI
Todd A Goodman
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1750837258
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(3) exclusion effective May 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP034696L
- Practice address
- 7960 Verree Rd
Philadelphia, PA 19111-2531 - Phone
- (215) 342-0100
- Fax
- (215) 342-0906
- NPI assigned
- Aug 25, 2016
- Sex
- Male
- Sole proprietor
- No
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 | RP034696L | PA | Primary |
Addresses
Primary practice location
7960 Verree Rd
Philadelphia, PA 19111-2531
Mailing address
7960 Verree Rd
Philadelphia, PA 19111-2531
Phone (215) 342-0100
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP034696L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1750837258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7960 VERREE RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112531",
"telephone_number": "215-342-0100",
"fax_number": "215-342-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7960 VERREE RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112531",
"telephone_number": "215-342-0100",
"fax_number": "215-342-0906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "TODD",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP034696L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.