FRED GOODMAN (NPI# 1316497035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316497035 |
| Entity Type | Individual |
| Full Name | FRED GOODMAN |
| Credential | M.S. |
| Practice Address |
8578 Santa Monica Blvd West Hollywood CA 90069-4119 |
| Practice Telephone | 3102891125 |
| Practice Fax Number | 3102890744 |
| Mailing Telephone | 3102891125 |
| Mailing Fax Number | 3102890744 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 37591 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700877628 | Fred L Goodman Jr. | Family Medicine | Marine Corps Air Station, Building 1175, Box 99116, Yuma, AZ 85369-9116 | 2005-10-31 |
| Street Address |
8578 SANTA MONICA BLVD |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90069-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952317273 | Vls Capitol Drugs Inc | Pharmacy | 8578 Santa Monica Blvd, West Hollywood, CA 90069-4119 | 2006-07-31 |
| 1215331095 | Christopher Ang Angara | Pharmacist | 8578 Santa Monica Blvd, West Hollywood, CA 90069 | 2014-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620188 | Schewitz Psychological Services Inc | Counselor | 722 North Orlando Avenue, #109, West Hollywood, CA 90069 | 2020-02-05 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1922527894 | Hansol | Acupuncturist | 9210 Sunset Blvd #212, Los Angeles, CA 90069 | 2017-09-12 |
| 1982121026 | Karen A Robinson | Dental Hygienist | 1264 N. Kings Rd, #14, West Hollywood, CA 90069 | 2017-08-29 |
| 1851844237 | Anna Mcmaster | Physical Therapist | 1201 Larrabee St Apt 205, West Hollywood, CA 90069 | 2016-08-02 |
| 1730565136 | Brittany Giraud | Nurse Practitioner | 8570 W. Sunset Blvd Suite 1.5, West Hollywood, CA 90069 | 2015-08-07 |
| 1124454962 | Twin Town Corporation | Clinic/Center | 8739 Santa Monica Blvd., West Hollywood, CA 90069 | 2013-09-25 |
| 1609201417 | Jaclyn Jean Tolentino | Family Medicine | 8550 Santa Monica Blvd, 2nd Floor, West Hollywood, CA 90069 | 2013-09-11 |
| 1992144489 | Virginia Denise Hall | Nurse Practitioner | 8570 W Sunset Blvd Ste 1.5, West Hollywood, CA 90069 | 2013-06-18 |
| 1518305473 | Amedco California Inc. | Optometrist | 8624 Sunset Blvd., The Eye Gallery - La, West Hollywood, CA 90069 | 2013-06-12 |
| Find all providers in zip 90069 | ||||
| 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 |
|---|---|---|---|---|
| 1689205023 | Stella Rose Bakmajian | Pharmacist | 7007 Romaine St Fl 4, West Hollywood, CA 90038-2328 | 2020-02-03 |
| 1326502113 | Mackenzie Ritchie | Pharmacist | 8700 Beverly Blvd Rm 8903, West Hollywood, CA 90048-1804 | 2019-01-25 |
| 1710493549 | Afreh Khazaee | Pharmacist | 7360 Santa Monica Blvd # 101, West Hollywood, CA 90046-6619 | 2017-12-15 |
| 1598137507 | Nhat Tan Nguyen Thai | Pharmacist | 1252 N Formosa Ave, Apt 2, West Hollywood, CA 90046-5800 | 2015-10-29 |
| 1396170759 | Keri Kathleen Hurley | Pharmacist | 8500 Melrose Ave Ste 109, West Hollywood, CA 90069-5168 | 2013-09-04 |
| 1942567425 | Mark Aaron Goff | Pharmacist | 7545 Hampton Ave Apt 109, West Hollywood, CA 90046-5597 | 2012-04-20 |
| 1447544564 | Kelly H Shin | Pharmacist | 7100 Santa Monica Blvd, Suite 201, West Hollywood, CA 90046-5896 | 2011-06-06 |
| 1013220300 | Richard Ludwig Pilsl | Pharmacist | 834 Huntley Dr, West Hollywood, CA 90069-5026 | 2010-07-15 |
| 1396065918 | Donald Mixer Mcguire | Pharmacist | 1132 N La Brea Ave, West Hollywood, CA 90038-1022 | 2010-06-04 |
| 1811509391 | Jun Ho Ma | Pharmacist | 7100 Santa Monica Blvd Ste 201, West Hollywood, CA 90046-5896 | 2020-08-17 |
| Find all providers in WEST HOLLYWOOD | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90069 |
Please comment or provide details below to improve the information on FRED GOODMAN.
| 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.