Dawn R Goodwin, RPH

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030122789 Issued in 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

Last updated

Jul 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jlkgt Investments LLC

  dba Kaup Pharmacy

  • Community/Retail Pharmacy
  • Versailles, OH
  • NPI 1710069554
  NPD (past)
• Kaup Pharmacy, Inc.

  • Home Infusion Therapy Pharmacy
  • Fort Recovery, OH
  • NPI 1518016021

  Community/Retail Pharmacy

  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1770645293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N WAYNE ST",
            "city": "FORT RECOVERY",
            "state": "OH",
            "postal_code": "458468059",
            "telephone_number": "419-375-2323",
            "fax_number": "419-375-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N WAYNE ST",
            "city": "FORT RECOVERY",
            "state": "OH",
            "postal_code": "458468059",
            "telephone_number": "419-375-2323",
            "fax_number": "419-375-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "DAWN",
        "middle_name": "R",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "030122789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Recovery Local School District
• Ft Recovery Chiropractic, LLC
• Ft Recovery Family Medicine, Inc
• Monica Mary Fullenkamp, PHARMD
• Amy Lynn Goettemoeller, RPH
• Grand Lake Eyecare, LLC
• Jodi Grover, NP-C
• Alexis Guggenbiller
• Natalie Rose Homan, PHARMD
• Susan Homan

• Community/Retail Pharmacy in Fort Recovery, OH
• Providers in Fort Recovery, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.