JESSICA GOLDSWORTHY


Address: 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502
Phone: 6166855308

JESSICA GOLDSWORTHY (NPI# 1073130449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073130449
Entity Type Individual
Full Name JESSICA GOLDSWORTHY
Credential PHARMD
Practice Address 200 Jefferson Ave Se
Grand Rapids
MI 49503-4502
Mailing Address 1762 Overfield Dr Se
Grand Rapids
MI 49508-6695
Practice Telephone 6166855308
Mailing Telephone 9063621245
Enumeration Date 2020-07-01
Last Update Date 2020-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 5351013599 MI Pharmacy Service Providers

Office Location

Street Address 200 JEFFERSON AVE SE
City GRAND RAPIDS
State MI
Zip Code 49503-4502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114929353 Grand River Emergency Medical Group Plc Emergency Medicine 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2005-06-01
1851918551 Lacy J Worden Pharmacist 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-06-29
1669099560 Kamah Ellena Pharmacist 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-06-26
1629694344 Yoad Yechiel Porat Anesthesiology 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 2020-06-18
1851917587 Danuka Manupriya Ubayasena Anesthesiology 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 2020-06-18
1619593530 Albert Dongzhou Jiao Radiology 200 Jefferson Ave Se, Jefferson Suite 360, Grand Rapids, MI 49503 2020-06-17
1548882046 Rebecca Tourison Registered Nurse 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-05-07
1942821079 Breanne Nicole Ranucci Physician Assistant 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-04-29
1750901757 Nicholas Patrick Callahan Registered Nurse 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-04-20
1124668215 Brock Golembieski Physician Assistant 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164031860 Jerika Nguyen Pharmacist 525 Clancy Ave Ne Apt 120, Grand Rapids, MI 49503-1843 2020-07-28
1063045177 Kristen Buthker Pharmacist 1021 Alpine Ave Nw, Grand Rapids, MI 49504-4139 2020-02-17
1124667258 Grant Lawson Beach Pharmacist 201 Michigan St Nw Apt 910, Grand Rapids, MI 49503-2330 2020-01-07
1821562844 Catherine Formalejo Padogdog Pharmacist 2051 Ridgecrest Rd Se Apt 7, Grand Rapids, MI 49546-4321 2019-01-12
1386151660 Brett Donald Jenkins Pharmacist 3326 Weatherford Dr Nw Apt 3a, Grand Rapids, MI 49544-6966 2018-01-08
1326568296 Sarah Ann Kauffman Pharmacist 360 Division Ave S Ste 1a, Grand Rapids, MI 49503-4501 2017-06-22
1760920698 Heidi Catherine Stultz-griffey Pharmacist 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 2017-02-12
1235585456 Kirsten Hayes Pharmacist 510 College Ave Ne Apt 215, Grand Rapids, MI 49503-1770 2016-05-06
1740649201 Robert Matthew Granett Pharmacist 200 Jefferson Ave Se # See, Grand Rapids, MI 49503-4502 2016-02-12
1386000420 Samantha Shifman Pharmacist 555 7th St Nw, Apt. 208, Grand Rapids, MI 49504-5213 2016-01-05
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Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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