Active NPI
Kelli Goodwin, PHARMD
- Pharmacist
- Harlingen, TX
National Provider Identifier
1962002014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47605
- Practice address
- 621 N Expwy 77
Harlingen, TX 78552-5202 - Phone
- (956) 507-7315
- Fax
- (956) 507-7316
- NPI assigned
- Oct 28, 2020
- 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 | 47605 | TX | Primary |
Addresses
Primary practice location
621 N Expwy 77
Harlingen, TX 78552-5202
Mailing address
621 N Expwy 77
Harlingen, TX 78552-5202
Phone (956) 507-7315
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | k0c00sa.s06269.us@samsclub.com | Direct | |
| Direct Messaging Address | k0c00sa.s06269.us@samsclub.com | Direct |
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 |
|---|---|---|---|
| 47605 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1962002014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 N EXPWY 77",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785525202",
"telephone_number": "956-507-7315",
"fax_number": "956-507-7316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 N EXPWY 77",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785525202",
"telephone_number": "956-507-7315",
"fax_number": "956-507-7316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "KELLI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47605",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "k0c00sa.s06269.us@samsclub.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "621 N Expwy 77",
"city": "Harlingen",
"state": "TX",
"country_code": "US",
"postal_code": "785525202",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "k0c00sa.s06269.us@samsclub.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "621 N Expwy 77",
"city": "Harlingen",
"state": "TX",
"country_code": "US",
"postal_code": "785525202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.