DR. BRYAN JOSEPH GOODMAN


Address: 15 Laurel Canyon Village Cir, 118, Canton, GA 30114-4469
Phone: 7704793711

DR. BRYAN JOSEPH GOODMAN (NPI# 1366789372) 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) 1366789372
Entity Type Individual
Full Name DR. BRYAN JOSEPH GOODMAN
Credential PHARM D
Practice Address 15 Laurel Canyon Village Cir
118
Canton
GA 30114-4469
Practice Telephone 7704793711
Practice Fax Number 7704793777
Mailing Telephone 7704793711
Mailing Fax Number 7704793777
Enumeration Date 2013-01-10
Last Update Date 2013-01-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RPH024776 GA Pharmacy Service Providers

Other Providers BRYAN GOODMAN

NPI Name Taxonomy Address Enumeration
1316350168 Bryan Goodman Military Health Care Provider Bldg #1058, Mcbh Kaneohe Bay, HI 96863 2014-06-10
1801386610 Bryan Nicholas Goodman Student in an Organized Health Care Education/Training Program 1775 Grand Concourse, Bronx, NY 10453-8202 2018-05-16

Office Location

Street Address 15 LAUREL CANYON VILLAGE CIR
118
City CANTON
State GA
Zip Code 30114-4469

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356688063 Karen Johnston Pharmacist 15 Laurel Canyon Village Cir, Suite 118, Canton, GA 30114-4469 2013-01-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619516093 Wickshire Canton Opco LLC Assisted Living Facility 125 Riverstone Terrace, Canton, GA 30114 2020-01-02
1154803583 Alixandra Nicole Flournoy Physical Therapist 131 Holly Street, Canton, GA 30114 2018-09-01
1588157341 Provident Group - Canton Cove Properties LLC Alzheimer Center (Dementia Center) 1100 Reinhardt College Parkway, Canton, GA 30114 2018-06-07
1003233107 Heartland Dental Care of Georgia Dentist 3237 Sixes Rd, Canton, GA 30114 2014-03-26
1730510959 Joseph Optical Eyewear Supplier (Equipment, not the service) 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 2013-12-13
1629313036 Ramona Morton Rasmussen Occupational Therapist 200 Riverstone Drive, Suite B, Canton, GA 30114 2012-12-11
1902154875 Yong Qiao Luo Acupuncturist 200 Oakside Lane, Suite D, Canton, GA 30114 2012-08-26
1215294350 Christina Lynn Hernandez Pediatrics 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 2012-04-13
1558638981 Stephen E Byrd Counselor 191 Lamar Haley Pkwy., Canton, GA 30114 2011-11-30
1073807855 Sheri Sullins Buckley Nurse Practitioner 120 Oakside Ct Ste H, Canton, GA 30114 2011-06-08
Find all providers in zip 30114

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
1437750551 Anamiben R Patel Pharmacist 45555 Michigan Ave, Canton, MI 48188-2388 2020-11-04
1467084343 Syed Ashraf Ali Shah Pharmacist 385 Westbourne Ct, Canton, MI 48188-4718 2020-02-07
1427680503 Gracy Mathai-mathews Pharmacist 770 Pheasant Woods Dr, Canton, MI 48188-5224 2020-02-06
1962059378 Catherine Lynn Denner Pharmacist 330 Oak Hill Ln, Canton, GA 30115-5433 2019-08-20
1427601806 Tarek Mazloum Pharmacist 3815 Herbey St, Canton, MI 48188-2421 2019-07-24
1013473925 Yen Do Ruiz Pharmacist 41460 Haggerty Circle South, Canton, MI 48188 2019-02-15
1063978260 Jordan Richard Wanner Pharmacist 4615 Middlebranch Ave Ne, Canton, OH 44705-2960 2019-02-13
1861972333 Brittany Carin Yu Pharmacist 2512 Tuscarawas St W, Canton, OH 44708-4702 2018-08-15
1598256364 Austin Tull Pharmacist 2260 Holly Springs Pkwy Ste 180, Canton, GA 30115-9580 2018-05-28
1518491513 Jerry Sherwin Vidis Pharmacist 41092 Northwind Dr, Canton, MI 48188-3115 2017-04-17
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 30114

Improve Information

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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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