Dawn R Goodwin, RPH
Individual provider Active NPI Community/Retail Pharmacy · Fort Recovery, OH
NPI 1770645293 · NPPES record last updated Jul 13, 2020
Key facts
- NPI
- 1770645293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 030122789 (OH)
- Practice address
- 102 N Wayne St
Fort Recovery, OH 45846-8059 - Phone
- (419) 375-2323
- Fax
- (419) 375-4488
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030122789 | OH | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaup Pharmacy, Inc. | Community/Retail Pharmacy | Past | Accepting new patients |
| Jlkgt Investments LLC | Community/Retail Pharmacy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 030122789 | OH | Yes |
Addresses
Primary practice location
102 N Wayne St
Fort Recovery, OH 45846-8059
Mailing address
102 N Wayne St
Fort Recovery, OH 45846-8059
Phone (419) 375-2323
Other providers in Fort Recovery, OH
- Fort Recovery Local School District
- Ft Recovery Chiropractic, LLC
- Ft Recovery Family Medicine, Inc
- Monica Mary Fullenkamp
- Amy Lynn Goettemoeller
- Grand Lake Eyecare, LLC
- Jodi Grover
- Alexis Guggenbiller
- Natalie Rose Homan
- Susan Homan
All providers in Fort Recovery, OH · Community/Retail Pharmacy in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2020. 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.