Active NPI
Jacquelyn Goldberg, RPH
- Pharmacist
- Frisco, CO
National Provider Identifier
1861555831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14903
- Practice address
- 29 Siskin Lane
Frisco, CO 80443-2248 - Phone
- (970) 333-1500
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14903 | CO | Primary |
Addresses
Primary practice location
29 Siskin Lane
Frisco, CO 80443-2248
Mailing address
29 Siskin Lane
PO Box 2248
Frisco, CO 80443-2248
Phone (970) 333-1500
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 |
|---|---|---|---|
| 14903 | CO | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861555831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 SISKIN LANE",
"address_2": "PO BOX 2248",
"city": "FRISCO",
"state": "CO",
"postal_code": "804432248",
"telephone_number": "970-333-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 SISKIN LANE",
"city": "FRISCO",
"state": "CO",
"postal_code": "804432248",
"telephone_number": "970-333-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "JACQUELYN",
"name_prefix": "Miss",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "14903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, CO
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.