Active NPI
Madalyn Raye Godinho, PHARMD
- Pharmacist
- Longview, WA
National Provider Identifier
1952052623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61181753
- Practice address
- 1615 Delaware St
Longview, WA 98632-2367 - Phone
- (360) 414-2000
- Fax
- (360) 442-6843
- NPI assigned
- Jan 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61181753 | WA | Primary |
Addresses
Primary practice location
1615 Delaware St
Longview, WA 98632-2367
Mailing address
253 Chapman Rd
Castle Rock, WA 98611-9658
Phone (360) 749-4826
Other practice location 1
1718 E Kessler Blvd
Longview, WA 98632-1842
Phone (360) 747-5800
Other names 1
- Madalyn Raye Seidl
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 |
|---|---|---|---|
| PH61181753 | WA | MD | Pharmacist |
Interoperability endpoints
- mseidl74203@direct.peacehealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1952052623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 CHAPMAN RD",
"city": "CASTLE ROCK",
"state": "WA",
"postal_code": "986119658",
"telephone_number": "360-749-4826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 DELAWARE ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322367",
"telephone_number": "360-414-2000",
"fax_number": "360-442-6843"
}
],
"practiceLocations": [
{
"address_1": "1718 E Kessler Blvd",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986321842",
"country_code": "US",
"telephone_number": "360-747-5800",
"fax_number": "360-442-6843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODINHO",
"first_name": "MADALYN",
"middle_name": "RAYE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-14",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61181753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADALYN",
"last_name": "SEIDL",
"middle_name": "RAYE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.