Felipe O Goncalves

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH24438 Issued in MA

Practice address

11-15 Sandersdale Rd
Southbridge, MA 01550

Phone

(774) 318-1187

Fax

(774) 272-8835

NPI assigned

Sep 30, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Apothecary Center Inc.

  • Community/Retail Pharmacy
  • Springfield, MA
  • NPI 1780741819
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1972321925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DEERFIELD DR",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010952367",
            "telephone_number": "413-348-3095",
            "fax_number": "774-272-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-15 SANDERSDALE RD",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "01550",
            "telephone_number": "774-318-1187",
            "fax_number": "774-272-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCALVES",
        "first_name": "FELIPE",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH24438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Giordano, MD
• Heidi Merlina Giro
• Fabian M Glenn
• Craig E Goldberg, DO
• Mariana Gomes
• Johnny Manuel Gonzalez
• Naishmed Gonzalez
• Jessica Goodrich
• James A Goodwin, MD
• Jeffrey A Gordon, M.D.

• Pharmacist in Southbridge, MA
• Providers in Southbridge, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.