Active NPI
Malcolm N. Goodwin III, PHARMD
- Pharmacist
- Simpsonville, SC
National Provider Identifier
1912342254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11781
- Practice address
- 205 Coltsfoot CT
Simpsonville, SC 29680-7223 - Phone
- (864) 322-3610
- NPI assigned
- Apr 30, 2013
- Sex
- Male
- 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 | 11781 | SC | Primary |
| Pharmacist | 183500000X | 22785 | NC |
Addresses
Primary practice location
205 Coltsfoot CT
Simpsonville, SC 29680-7223
Mailing address
205 Coltsfoot CT
Simpsonville, SC 29680-7223
Phone (864) 322-3610
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 |
|---|---|---|---|
| 22785 | NC | MD | Pharmacist |
| 11781 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1912342254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 COLTSFOOT CT",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807223",
"telephone_number": "864-322-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 COLTSFOOT CT",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807223",
"telephone_number": "864-322-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "MALCOLM",
"middle_name": "N.",
"name_suffix": "III",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-30",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11781",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22785",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.