MR. DONALD W GOETSCH (NPI# 1215065487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215065487 |
| Entity Type | Individual |
| Full Name | MR. DONALD W GOETSCH |
| Credential | PHARMACIST |
| Practice Address |
1105 Michigan Ave Orofino ID 83544-2625 |
| Mailing Address |
Po Box 2625 1105 Michigan Ave Orofino ID 83544-2625 |
| Practice Telephone | 2084765727 |
| Practice Fax Number | 2084764045 |
| Mailing Telephone | 2084763569 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P3809 | ID | Pharmacy Service Providers |
| Street Address |
1105 MICHIGAN AVE |
| City | OROFINO |
| State | ID |
| Zip Code | 83544-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640001 | Glenwood Pharmacy, Inc | Pharmacy | 1105 Michigan Ave, Orofino, ID 83544-9005 | 2005-06-27 |
| 1679037402 | Arnzen Super Drug, Inc | Pharmacy | 1105 Michigan Ave, Orofino, ID 83544-9005 | 2019-01-25 |
| 1972643237 | Patricia Peterson | Pharmacist | 1105 Michigan Ave, Orofino, ID 83544-2625 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598229809 | Clearwater Canyon Pharmacy, LLC | Pharmacy | 13020 Us-12, Orofino, ID 83544 | 2019-01-31 |
| 1295130698 | Brian Shapiro | Marriage & Family Therapist | 155 Main Street Stuite C, Orofino, ID 83544 | 2014-10-28 |
| 1942497052 | Jean M. Shropshire | Speech-Language Pathologist | 123 1st St., Orofino, ID 83544 | 2007-10-02 |
| 1417161969 | Jeffrey David Hartshorn | Chiropractor | 437 College Avenue, Orofino, ID 83544 | 2007-05-10 |
| 1598808099 | Orofino Physical Therapy and Wellness Inc | Physical Medicine & Rehabilitation | 1005 Michigan Ave, Orofino, ID 83544 | 2007-02-14 |
| 1083766356 | Adam C. Dayley, O.d., P.C. | Optometrist | 906 Michigan Ave., Orofino, ID 83544 | 2007-01-17 |
| 1710037882 | Douglas L Frank | Pharmacist | 1105 Michigan Avenue, Orofino, ID 83544 | 2007-01-11 |
| 1386718047 | Irene Lamberti | Chiropractor | 437 College Ave., Orofino, ID 83544 | 2006-11-17 |
| 1730281064 | Clearwater County | Ambulance | 1195 Riverside Avenue, Orofino, ID 83544 | 2006-09-05 |
| 1538101050 | Wendi Rene Richardson | Nurse Anesthetist, Certified Registered | 301 Cedar, Clearwater Valley Hospital, Orofino, ID 83544 | 2006-06-11 |
| Find all providers in zip 83544 | ||||
| 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 |
|---|---|---|---|---|
| 1649831447 | Mikayla Danielle Moser | Pharmacist | 13020 U.S. Highway12, Orofino, ID 83544-8354 | 2019-06-24 |
| 1710037882 | Douglas L Frank | Pharmacist | 1105 Michigan Avenue, Orofino, ID 83544 | 2007-01-11 |
| 1497233563 | Ernest Upshaw | Pharmacist | 429 Michigan Ave, Orofino, ID 83544 | 2018-08-01 |
| 1538686696 | Andrew Cyr | Pharmacist | 429 Michigan Ave, Orofino, ID 83544 | 2017-08-29 |
| 1710127527 | Leon W. Jensen | Pharmacist | 300 Hospital Dr, Orofino, ID 83544-9034 | 2009-03-06 |
| 1972643237 | Patricia Peterson | Pharmacist | 1105 Michigan Ave, Orofino, ID 83544-2625 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950750 | Jill Willett | Pharmacist | 5453 Us Hwy 2, Priest River, ID 83856 | 2020-10-19 |
| 1568078046 | Peter Chad Adamovich | Pharmacist | 3553 Summit Dr, Pocatello, ID 83201-8011 | 2020-09-19 |
| 1932713765 | Richard Lee Wilgus | Pharmacist | 131 W Cameron Ave, Kellogg, ID 83837-2359 | 2020-08-31 |
| 1194335406 | Elizabeth Halcro | Pharmacist | 5453 Hwy 2, Priest River, ID 83856-8385 | 2020-08-03 |
| 1740890094 | Emilie Heun | Pharmacist | 10700 W Ustick Rd, Boise, ID 83713-5103 | 2020-08-02 |
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1467071811 | Cassidy Paige Howarth | Pharmacist | 5861 Victor Meadows Dr, Victor, ID 83455-5482 | 2020-04-15 |
| 1477186542 | Mark David Johnston | Pharmacist | 1683 E Myrtle Beach Ct, Eagle, ID 83616-5366 | 2020-02-18 |
| 1386282572 | Renee L Patton | Pharmacist | 520 S Eagle Rd Ste 2108, Meridian, ID 83642-6363 | 2019-12-18 |
| 1437795259 | Paul Charles Villaret | Pharmacist | 1855 N Groveland Pl, Eagle, ID 83616-4275 | 2019-11-27 |
| Find all providers with the same taxonomy | ||||
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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.