Active NPI
James Walter Goss, PHARMD
- Pharmacist
- Ooltewah, TN
National Provider Identifier
1922310168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000029425
- Practice address
- 5564 Little Debbie Pkwy Ste 102
Ooltewah, TN 37363-4356 - Phone
- (423) 521-7279
- NPI assigned
- Jul 3, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000029425 | TN | Primary |
Addresses
Primary practice location
5564 Little Debbie Pkwy Ste 102
Ooltewah, TN 37363-4356
Mailing address
10024 Meadowstone Dr
Apison, TN 37302-7602
Phone (423) 892-2802
Other practice location 1
35 25th St NW
Cleveland, TN 37311-3830
Phone (423) 614-4810
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 |
|---|---|---|---|
| 0000029425 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City Pharmacy Inc | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
5564 Little Debbie Pkwy
Ste 102
Ooltewah, TN 37363
Phone (423) 521-7279
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba River City Pharmacy
- Community/Retail Pharmacy
- Ooltewah, TN
- NPI 1144747411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922310168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10024 MEADOWSTONE DR",
"city": "APISON",
"state": "TN",
"postal_code": "373027602",
"telephone_number": "423-892-2802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5564 LITTLE DEBBIE PKWY STE 102",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373634356",
"telephone_number": "423-521-7279"
}
],
"practiceLocations": [
{
"address_1": "35 25th St NW",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "TN",
"postal_code": "373113830",
"country_code": "US",
"telephone_number": "423-614-4810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSS",
"first_name": "JAMES",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000029425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.