STASHA GOODIN (NPI# 1518214675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518214675 |
| Entity Type | Individual |
| Full Name | STASHA GOODIN |
| Credential | PHARMD |
| Practice Address |
1408 19th Ave Fairbanks AK 99701-5903 |
| Practice Telephone | 9074516682 |
| Mailing Telephone | 9074516682 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2113 | AK | Pharmacy Service Providers |
| Street Address |
1408 19TH AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763342 | Dean Latham Zuelsdorf | Psychologist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2005-10-06 |
| 1518213685 | Derek M Weber | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-07-26 |
| 1962757435 | Janet Richardson | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-07-19 |
| 1083977961 | Carol Indorf | Registered Nurse | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-06-17 |
| 1891097697 | Chief Anedrew Isaac Health Center | Clinic/Center | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2010-11-30 |
| 1700114733 | Christinia Yvonne Smith | Licensed Practical Nurse | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2009-12-02 |
| 1992944128 | Clinton James Smith | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2009-02-11 |
| 1487807749 | Susan Louise Robinson | Licensed Practical Nurse | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2008-10-30 |
| 1548422884 | Rita S Osborne | Dietitian, Registered | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2008-06-27 |
| 1174784391 | Kimberly Lynn Gebauer | Registered Nurse | 1408 19th Ave, 4th Floor, Clinical Nursing, Fairbanks, AK 99701-5903 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| 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 |
|---|---|---|---|---|
| 1447883111 | Demetria Spencer | Pharmacist | 1919 Lathrop St Ste 109, Fairbanks, AK 99701-5937 | 2020-02-20 |
| 1255982245 | Dale Christopher Schuchardt | Pharmacist | 930 Old Steese Hwy Ste A, Fairbanks, AK 99701-3167 | 2019-09-22 |
| 1487788428 | Tammy Sue Beaudreault | Pharmacist | Safeway 0405 Pharmacy, 3627 Airport Way, Fairbanks, AK 99709 | 2007-03-14 |
| 1174561070 | Cynthia A Stragier | Pharmacist | Fred Meyer West Fairbanks, 3755 Airport Way, Fairbanks, AK 99709 | 2006-06-03 |
| 1316550718 | Christine Pitser | Pharmacist | 530 Old Steese Hwy, Fairbanks, AK 99701-3130 | 2020-08-25 |
| 1427513936 | Misty Rae Blanchard | Pharmacist | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2019-02-08 |
| 1093270209 | Carmella Rivas | Pharmacist | 30 College Rd, Fairbanks, AK 99701-1706 | 2019-02-01 |
| 1568933133 | Kevin Ly | Pharmacist | 30 College Rd, Fairbanks, AK 99701-1706 | 2018-12-07 |
| 1568938975 | Jim Kirby Button | Pharmacist | 1650 Cowles St, Fairbanks, AK 99701-5907 | 2018-10-23 |
| 1821528530 | Darlene Katherine Huntington | Pharmacist | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2017-06-14 |
| Find all providers in FAIRBANKS | ||||
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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.