Mason Goodman

Primary specialty

PharmacistTaxonomy code 183500000X

License

P8032 Issued in ID

Practice address

714 N College Rd Ste a
Twin Falls, ID 83301-5812

Phone

(208) 420-0674

NPI assigned

Aug 22, 2018

Last updated

Aug 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1902387566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 POLE LINE RD W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015810",
            "telephone_number": "208-814-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N COLLEGE RD STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015812",
            "telephone_number": "208-420-0674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Pole Line Rd W",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015810",
            "country_code": "US",
            "telephone_number": "208-814-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3205 E 3225 N",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833010551",
            "country_code": "US",
            "telephone_number": "208-420-0674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P8032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce E. Gollub, M.D.
• Samantha Gonzales, FNP-C
• Erin Goodfellow, NURSE PRACTITIONER
• Gooding Pharmacy Inc (R and R Pharmacy Twin Falls)
• Gooding Pharmacy Inc (R&R Pharmacy - Twin Falls LTC)
• Taryna J Goodman, NP
• Mitchell Maurice Gordon, CPSS, YPSS
• Takwa S Gordon
• Stephanie Rands Gorringe
• Kyli Gough, RDN, LD

• Pharmacist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.