Goodman Drugs of FL Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GOODMAN DRUGS OF FL CORP

Doing business as

PS Drugs

Practice address

1234 NE 4TH Avenue
Suite C
Fort Lauderdale, FL 33304

Phone

(954) 764-6257

Fax

(954) 764-3175

NPI assigned

Mar 2, 2007

Last updated

Nov 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherine Bahna, PHARM. D.

Title

Owner

Phone

(954) 637-8855

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• PS Drugs Doing business as

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1780712323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 S POWERLINE ROAD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33442",
            "telephone_number": "954-637-8855",
            "fax_number": "855-315-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 NE 4TH AVENUE",
            "address_2": "SUITE C",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33304",
            "telephone_number": "954-764-6257",
            "fax_number": "954-764-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN DRUGS OF FL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "BAHNA",
        "authorized_official_first_name": "SHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-637-8855",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 12431",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022181-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1009922",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1070882",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PS Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Renee Patricia Gooden-Clarke, NP
• Jillian Goodman, SLP-CCC
• Marissa I Goodman, LMHC, LPC, NCC, QS
• Amy Goodner
• Lindsay Goodnight, BCBA
• Lauren Audrey Goodson, ARNP

• Community/Retail Pharmacy in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.