Active NPI
Robert William Gooch Jr.
- Pharmacist
- Colebrook, NH
National Provider Identifier
1952430357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2277
- Practice address
- 181 Corliss LN
Colebrook, NH 03576-3207 - Phone
- (603) 237-4971
- NPI assigned
- Mar 4, 2007
- Last updated
- Jul 8, 2007
- 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 | 2277 | NH | Primary |
Addresses
Primary practice location
181 Corliss LN
Colebrook, NH 03576-3207
Mailing address
PO Box 477
Colebrook, NH 03576-0477
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2277 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952430357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 477",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035760477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 CORLISS LN",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035763207",
"telephone_number": "603-237-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOCH",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "2277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colebrook, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.