Active NPI
Christy Goodwin, PHARMD
- Pharmacist
- Jenks, OK
National Provider Identifier
1801301577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14968
- Practice address
- 446 S Elm St
Jenks, OK 74037-3704 - Phone
- (918) 299-2684
- NPI assigned
- Dec 4, 2017
- 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 | 14968 | OK | Primary |
Addresses
Primary practice location
446 S Elm St
Jenks, OK 74037-3704
Mailing address
446 S Elm St
Jenks, OK 74037-3704
Phone (918) 299-2684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14968 | Other | OK | PHARMACIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14968 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1801301577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 S ELM ST",
"city": "JENKS",
"state": "OK",
"postal_code": "740373704",
"telephone_number": "918-299-2684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 S ELM ST",
"city": "JENKS",
"state": "OK",
"postal_code": "740373704",
"telephone_number": "918-299-2684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "CHRISTY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-04",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "14968",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.