Active NPI
Adam Michael Goldsborough, CPHT
- Pharmacy Technician
- Trinity, FL
National Provider Identifier
1841421609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 35010106340294
- Practice address
- 10720 State Road 54
Suite 103
Trinity, FL 34655-2217 - Phone
- (727) 375-2502
- Fax
- (727) 375-2508
- NPI assigned
- Jul 28, 2009
- Last updated
- Jul 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 35010106340294 | FL | Primary |
Addresses
Primary practice location
10720 State Road 54
Suite 103
Trinity, FL 34655-2217
Mailing address
10720 State Road 54
Suite 103
Trinity, FL 34655-2217
Phone (727) 375-2502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350101060340294 | Other | FL | CERTIFIED PHARMACY TECHINICIAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35010106340294 | FL | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good RX V LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1841421609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10720 STATE ROAD 54",
"address_2": "SUITE 103",
"city": "TRINITY",
"state": "FL",
"postal_code": "346552217",
"telephone_number": "727-375-2502",
"fax_number": "727-375-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10720 STATE ROAD 54",
"address_2": "SUITE 103",
"city": "TRINITY",
"state": "FL",
"postal_code": "346552217",
"telephone_number": "727-375-2502",
"fax_number": "727-375-2508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSBOROUGH",
"first_name": "ADAM",
"middle_name": "MICHAEL",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "35010106340294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED PHARMACY TECHINICIAN",
"identifier": "350101060340294",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.