DR. JERICA L GOODWIN


Address: 4500 S Lancaster Rd # 119c, Dallas, TX 75216-7167
Phone: 2147428387

DR. JERICA L GOODWIN (NPI# 1114032299) 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) 1114032299
Entity Type Individual
Full Name DR. JERICA L GOODWIN
Credential PHARMD
Practice Address 4500 S Lancaster Rd # 119c
Dallas
TX 75216-7167
Mailing Address 1407 Levee Ln
Cedar Hill
TX 75104-4009
Practice Telephone 2147428387
Practice Fax Number 2143021403
Mailing Telephone 4692727998
Enumeration Date 2006-08-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835P1200X Pharmacist
Specialization: Pharmacotherapy
PS36165 FL Pharmacy Service Providers
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
41233 TX Pharmacy Service Providers

Office Location

Street Address 4500 S LANCASTER RD # 119C
City DALLAS
State TX
Zip Code 75216-7167

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942588512 Frank Chen Pharmacist 4500 S Lancaster Rd # 119c, Dallas, TX 75216-7167 2011-07-29
1134234693 Rick Allen Weideman Pharmacist 4500 S Lancaster Rd # 119c, Dallas, TX 75216-7167 2006-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699384115 Dg Edwards Pllc Clinic/Center 4498 Marsalis Avenue, Dallas, TX 75216 2020-07-30
1407407984 Margaret Ruth Mitchell Technician 4950 Wadsworth Apt 1019, Dallas, TX 75216 2019-09-25
1033605373 James Sherman Mckoy Radiology 45oo S Lancaster Rd, Dallas, TX 75216 2018-07-10
1982192274 Toni Danielle Smith Pharmacist 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 2018-04-23
1124546353 Tiffany Price Social Worker 45oo S. Lancaster Rd., Dallas, TX 75216 2017-09-08
1215397476 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 150 East Illinois Ave, Dallas, TX 75216 2016-03-02
1629466834 Elena Mayra Rodriguez Physician Assistant 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 2014-12-23
1043651367 Lakisha Henderson Registered Nurse 2619 S. Lancaster Rd, Dallas, TX 75216 2013-07-15
1669812871 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 5050 S Lancaster Rd, Dallas, TX 75216 2013-07-02
1922341361 Angela S Ayers Home Health Aide 302 Zang Ave, Dallas, TX 75216 2013-04-04
Find all providers in zip 75216

Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548657778 John Joseph Mondin II Pharmacist 11970 N Central Expy Ste 340, Dallas, TX 75243-3787 2015-04-26
1053710905 Marcus Arthur Kouma Pharmacist 4500 S Lancaster Rd (119), Dallas, TX 75216-7167 2014-08-16
1700064649 Susan Duquaine Pharmacist 4500 S Lancaster Rd # 119, Dallas, TX 75216-7167 2008-02-02
1326261165 Christy Vaughan Pharmacist 1441 N. Beckley Ave, Pharmacy Dept, Dallas, TX 75203 2007-04-10
1285779199 Lord and A. Pharmacy Pharmacist 2949 Martin Luther King Jr Blvd Ste 1, Dallas, TX 75215-6317 2007-02-20
1760573265 April Yvette Allen Pharmacist 4500 S Lancaster Rd Bldg 7 Rm 119-a, Dallas, TX 75216-7167 2006-09-27
1073611588 Ronald Gene Hall II Pharmacist 4500 Lancaster, Bldg 7, R# 119a, Dallas, TX 75216 2006-09-20
1740394394 Carlos A Alvarez Pharmacist 4500 S Lancaster Rd Bldg 7-r # 119a, Dallas, TX 75216-7167 2006-08-19
1871586347 Bridget Paravattil Pharmacist 1400 N Westmoreland Rd, Dallas, TX 75211-1656 2005-08-30
1992702500 Steve Micheal Boatright Pharmacist 9739 Parkford Dr, Dallas, TX 75238-3316 2005-06-29
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 75216

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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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