Active NPI
Christopher D Goodman, CPHT, CSPT
- Pharmacy Technician
- Pottsville, PA
National Provider Identifier
1982298980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 30027838
- Practice address
- 500 Pottsville Park PLZ
Pottsville, PA 17901-4104 - Phone
- (570) 622-8150
- NPI assigned
- Feb 22, 2021
- Last updated
- Feb 22, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30027838 | PA | Primary |
Addresses
Primary practice location
500 Pottsville Park PLZ
Pottsville, PA 17901-4104
Mailing address
500 Pottsville Park PLZ
Pottsville, PA 17901-4104
Phone (570) 622-8150
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Pottsville | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 30027838 | PA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past | Accepting new patients | |
| Weis Markets Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1982298980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 POTTSVILLE PARK PLZ",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179014104",
"telephone_number": "570-622-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 POTTSVILLE PARK PLZ",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179014104",
"telephone_number": "570-622-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "CPHT, CSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PA",
"license": "30027838",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Pottsville",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "500 Pottsville Park Plz",
"city": "Pottsville",
"state": "PA",
"country_code": "US",
"postal_code": "179014104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.