Individual provider Active NPI

Amy Goodpaster, PHARMD

  • Oncology Pharmacist
  • Erie, PA
National Provider Identifier
1790378198
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
RP447002 Issued in PA
Practice address
2508 Myrtle St
Erie, PA 16502-2646
Phone
(814) 452-5446
Fax
(814) 452-7842
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Pharmacist 1835X0200X RP447002 PA Primary

Addresses

Primary practice location

2508 Myrtle St
Erie, PA 16502-2646

Mailing address

6695 Richardson Rd
Fairview, PA 16415-1653
Phone (407) 810-3441

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP447002PAMDOncology Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1790378198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 RICHARDSON RD",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164151653",
            "telephone_number": "407-810-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 MYRTLE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022646",
            "telephone_number": "814-452-5446",
            "fax_number": "814-452-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODPASTER",
        "first_name": "AMY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "PA",
            "license": "RP447002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.