MR. DAVID J GOODMAN (NPI# 1013286970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013286970 |
| Entity Type | Individual |
| Full Name | MR. DAVID J GOODMAN |
| Credential | RPH. |
| Practice Address |
1405 E Venice Ave Venice FL 34292-3064 |
| Practice Telephone | 9414888122 |
| Practice Fax Number | 9414888130 |
| Mailing Telephone | 9414888122 |
| Mailing Fax Number | 9414888130 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS15965 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHARMACIST | PS15965 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811258775 | David Allen Goodman | Preventive Medicine | 3939 Monona Dr, 101, Monona, WI 53716-1175 | 2012-06-06 |
| 1417236431 | David Goodman | Technician/Technologist | 11029 Mill Centre Dr, Suite 101, Owings Mills, MD 21117-3275 | 2011-08-08 |
| 1407064504 | David M. Goodman | Speech-Language Pathologist | 23480 Sanabria Loop, Bonita Springs, FL 34135-5380 | 2007-05-20 |
| 1548309867 | David Todd Goodman | Optometrist | 107 Lexington Plz, Lexington, TN 38351-1505 | 2007-02-05 |
| 1265588511 | David Edward Goodman | General Practice | 300 Professional Center Dr Ste 326, Novato, CA 94947-4334 | 2007-01-26 |
| 1649380924 | David J Goodman | Psychologist | W175n11081 Stonewood Dr Ste 212, Germantown, WI 53022-4771 | 2006-08-30 |
| 1982639803 | David Wayne Goodman | Psychologist | 2639 Sunset Avenue, Suite B, Rocky Mount, NC 27804-3700 | 2006-07-11 |
| 1619922168 | David L Goodman | Chiropractor | 7256 Rising Sun Ave, Philadelphia, PA 19111-3948 | 2006-05-23 |
| 1487637997 | David L Goodman | Allergy & Immunology | 3601 S Clarkson, Suite 200, Englewood, CO 80113-3946 | 2005-11-29 |
| 1023006467 | David Jason Goodman | Nurse Practitioner | 2611b Se 17th St, Ocala, FL 34471-5520 | 2005-10-10 |
| Street Address |
1405 E VENICE AVE |
| City | VENICE |
| State | FL |
| Zip Code | 34292-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568477750 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1405 E Venice Ave, Venice, FL 34292-3064 | 2006-07-29 |
| 1205383643 | Ashley N Stuart | Pharmacist | 1405 E Venice Ave, Venice, FL 34292-3064 | 2016-09-01 |
| 1891121265 | Jimmy Ryan Villarreal | Pharmacist | 1405 E Venice Ave, Venice, FL 34292-3064 | 2013-09-17 |
| 1447510664 | Keila Ortiz | Pharmacist | 1405 E Venice Ave, Venice, FL 34292-3064 | 2012-05-22 |
| 1851662621 | Angela M Ristuccia | Pharmacist | 1405 E Venice Ave, Venice, FL 34292 | 2012-01-25 |
| 1932478211 | Jami T Snow | Pharmacist | 1405 E Venice Ave, Venice, FL 34292-3064 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649800376 | Joseph A Pata | Pharmacist | 4150 S Tamiami Trl, Venice, FL 34293-5130 | 2020-01-22 |
| 1750925897 | Carlos Manuel Bravo | Pharmacist | 345 Jacaranda Cir, Venice, FL 34285-7016 | 2019-11-01 |
| 1245718543 | Sergio Daniel Eastman | Pharmacist | 4173 S Tamiami Trl, Venice, FL 34293-5111 | 2018-07-30 |
| 1164872164 | Elizabeth T Cerussi | Pharmacist | 119 Lincoln Blvd, Venice, CA 90291-2807 | 2016-06-21 |
| 1043604234 | Patricia Lynn Martinez | Pharmacist | 19876 Cobblestone Cir, Venice, FL 34292-4184 | 2015-03-25 |
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1396135273 | Maurice Campbell | Pharmacist | 458 Us Highway 41 Byp N, Venice, FL 34285-6037 | 2015-01-29 |
| 1083004402 | Hoan K Huynh Bui | Pharmacist | 138 Durian Rd, Venice, FL 34293-3213 | 2015-01-24 |
| 1871926188 | Sara Christine Ingargiola | Pharmacist | 535 Tamiami Trl S, Venice, FL 34285-2927 | 2013-08-11 |
| Find all providers in VENICE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.