Active NPI
Alice Janie Goodman, PHARMD
- Pharmacist
- Evans, GA
National Provider Identifier
1881986495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH024273
- Practice address
- 750 Whitney Pass
Evans, GA 30809-7500 - Phone
- (706) 399-8094
- NPI assigned
- May 15, 2011
- Last updated
- Mar 5, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42814 | SC | |
| Pharmacist | 183500000X | RPH024273 | GA | Primary |
Addresses
Primary practice location
750 Whitney Pass
Evans, GA 30809-7500
Mailing address
750 Whitney Pass
Evans, GA 30809-7500
Phone (706) 399-8094
Other practice location 1
440 Bowen Fls
Grovetown, GA 30813-5919
Phone (706) 399-8094
Other practice location 2
2512 Tobacco Rd
Hephzibah, GA 30815-7099
Phone (706) 793-7284
Other names 1
- Alice Janie Muriset
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 |
|---|---|---|---|
| RPH024273 | GA | MD | Pharmacist |
| 42814 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646438400000",
"number": "1881986495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 WHITNEY PASS",
"city": "EVANS",
"state": "GA",
"postal_code": "308097500",
"telephone_number": "706-399-8094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 WHITNEY PASS",
"city": "EVANS",
"state": "GA",
"postal_code": "308097500",
"telephone_number": "706-399-8094"
}
],
"practiceLocations": [
{
"address_1": "440 Bowen Fls",
"address_purpose": "LOCATION",
"city": "Grovetown",
"state": "GA",
"postal_code": "308135919",
"country_code": "US",
"telephone_number": "706-399-8094",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2512 Tobacco Rd",
"address_purpose": "LOCATION",
"city": "Hephzibah",
"state": "GA",
"postal_code": "308157099",
"country_code": "US",
"telephone_number": "706-793-7284",
"fax_number": "706-796-8678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODMAN",
"first_name": "ALICE",
"middle_name": "JANIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-15",
"last_updated": "2022-03-05",
"certification_date": "2022-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "42814",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH024273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICE",
"last_name": "MURISET",
"middle_name": "JANIE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.