Individual provider Active NPI

Alicia Marie Gohl, PHARMD

  • Pharmacist
  • Stoughton, MA
National Provider Identifier
1871991067
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302039373 Issued in MI
Practice address
100 Technology Center Dr Ste 600
Stoughton, MA 02072-4749
Phone
(781) 566-5400
NPI assigned
Dec 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23038 MD
Pharmacist 183500000X PH100001977 DC
Pharmacist 183500000X 5302039373 MI Primary

Addresses

Primary practice location

100 Technology Center Dr Ste 600
Stoughton, MA 02072-4749

Mailing address

100 Technology Center Dr Ste 600
Stoughton, MA 02072-4749
Phone (781) 566-5066

Other names 1

  • Alicia Smith Former name

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
PH100001977DCMDPharmacist
23038MDMDPharmacist
5302039373MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1419033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1871991067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY CENTER DR STE 600",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724749",
            "telephone_number": "781-566-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY CENTER DR STE 600",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724749",
            "telephone_number": "781-566-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHL",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-20",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "23038",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100001977",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302039373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.