Active NPI
Monica Dominique Gooden, R.PH.
- Pharmacist
- Avondale, LA
National Provider Identifier
1780716340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15427
- Practice address
- 3001 Highway 90 W
Avondale, LA 70094-2758 - Phone
- (504) 437-0650
- NPI assigned
- Mar 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 15427 | LA | Primary |
Addresses
Primary practice location
3001 Highway 90 W
Avondale, LA 70094-2758
Mailing address
120 Riverlands Dr
La Place, LA 70068-7106
Phone (985) 651-0947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15427 | Other | LA | LOUISIANA LIC. NUMBER |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15427 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winn- Dixie Montgomery, Inc. | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacist
- Avondale, LA
- NPI 1477645117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780716340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 RIVERLANDS DR",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700687106",
"telephone_number": "985-651-0947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 HIGHWAY 90 W",
"city": "AVONDALE",
"state": "LA",
"postal_code": "700942758",
"telephone_number": "504-437-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINIQUE GOODEN",
"first_name": "MONICA",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "15427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA LIC. NUMBER",
"identifier": "15427",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.