Goose Creek Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

11832 Issued in CO

Legal business name

GOOSE CREEK PHARMACY

Practice address

2880 Folsom St
Boulder, CO 80304-3739

Phone

(303) 440-4200

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Gordon Kost

Title

Pharmacist-Owner

Phone

(303) 440-4200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861542516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 MOUNT MEEKER RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037143",
            "telephone_number": "303-530-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 FOLSOM ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043739",
            "telephone_number": "303-440-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOSE CREEK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOST",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "PHARMACIST-OWNER",
        "authorized_official_telephone_number": "303-440-4200"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "11832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03357159",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna Goode
• Cathy Elise Goodman, LPC
• Harper Lane Goodman, NONE
• Steffie S Goodman, PHD, CNM
• Elicia Marie Goodsoldier
• Gordon N Gates DDS, MSD, PC
• Caitlin Gordon, D.AC.
• Gilad Shalag Gordon, MD
• Leslie Gordon, P.T.
• Linda S Gore, PA

• Pharmacist in Boulder, CO
• Providers in Boulder, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.