Active NPI
Coreen H Goodman, RPH
- Pharmacist
- Chandler, AZ
National Provider Identifier
1942595665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S018148
- Practice address
- 2150 N Arizona Ave
T-0252
Chandler, AZ 85225-3418 - Phone
- (480) 899-6872
- Fax
- (480) 899-6872
- NPI assigned
- Jun 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | S018148 | AZ | Primary |
Addresses
Primary practice location
2150 N Arizona Ave
T-0252
Chandler, AZ 85225-3418
Mailing address
2150 N. Arizona Avenue
T-0252
Chandler, AZ 85225
Phone (480) 899-6872
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S018148 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1942595665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 N. ARIZONA AVENUE",
"address_2": "T-0252",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85225",
"telephone_number": "480-899-6872",
"fax_number": "480-899-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 N ARIZONA AVE",
"address_2": "T-0252",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852253418",
"telephone_number": "480-899-6872",
"fax_number": "480-899-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "COREEN",
"middle_name": "H",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-10",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S018148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.