KRISTINE GODDARD (NPI# 1568862274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568862274 |
| Entity Type | Individual |
| Full Name | KRISTINE GODDARD |
| Practice Address |
26180 U.s 70 Ruidoso Downs NM 88346 |
| Mailing Address |
7401 San Pedro Dr Ne Trlr #57 Albuquerque NM 87109-4611 |
| Practice Telephone | 5753788050 |
| Mailing Telephone | 5053075023 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | IN00003372 | NM | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730630005 | Kristine Leuvelink Goddard | Specialist | 6829 Elm St Ste 300, Mc Lean, VA 22101-3845 | 2016-10-20 |
| Street Address |
26180 U.S 70 |
| City | RUIDOSO DOWNS |
| State | NM |
| Zip Code | 88346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215340492 | Lonnie Ray Nunley | Pharmacist | 26180 Us Hwy 70, Ruidoso Downs, NM 88346 | 2014-06-05 |
| 1316100225 | Ruidoso National Optical Center | Optometrist | 1800 Highway 70 West, Ruidoso Downs, NM 88346 | 2008-07-10 |
| 1447443619 | Devin Dennis | Exclusive Provider Organization | 429 River Ln, Ruidoso Downs, NM 88346 | 2007-08-21 |
| 1447536677 | Richard Bergsrud | Orthopaedic Surgery | 205 Lacanada Drive, Ruidoso Downs, NM 88346-0903 | 2011-11-02 |
| 1902320112 | Richard Aaron Roberts | Pharmacist | 26180 Us Highway 70, Ruidoso Downs, NM 88346-9158 | 2017-07-29 |
| 1528433273 | Sarrah Nichelle Babb | Pharmacist | 26180 Us Highway 70 E, Ruidoso Downs, NM 88346-9158 | 2015-12-07 |
| 1639703531 | Jocelyne Rincon | Behavior Technician | 117 Rawhide, Ruidoso Downs, NM 88346-9428 | 2020-02-28 |
| 1609386721 | Johnny Ray Long | Private Vehicle | 102 Corral Rd, Ruidoso Downs, NM 88346-9492 | 2017-10-03 |
| 1194763532 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1800 W Highway 70, Ruidoso Downs, NM 88346-9500 | 2006-06-04 |
| 1659661098 | Joy Preisser | Pharmacist | 1800 W Highway 70, Ruidoso Downs, NM 88346-9500 | 2011-04-18 |
| Find all providers in zip 88346 | ||||
| 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 |
|---|---|---|---|---|
| 1902320112 | Richard Aaron Roberts | Pharmacist | 26180 Us Highway 70, Ruidoso Downs, NM 88346-9158 | 2017-07-29 |
| 1528433273 | Sarrah Nichelle Babb | Pharmacist | 26180 Us Highway 70 E, Ruidoso Downs, NM 88346-9158 | 2015-12-07 |
| 1215340492 | Lonnie Ray Nunley | Pharmacist | 26180 Us Hwy 70, Ruidoso Downs, NM 88346 | 2014-06-05 |
| 1659661098 | Joy Preisser | Pharmacist | 1800 W Highway 70, Ruidoso Downs, NM 88346-9500 | 2011-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697715 | Matthew Liaw | Pharmacist | Highway 57 & Route 9, Crownpoint, NM 87313 | 2020-10-21 |
| 1245838689 | Jett Nymann Delacruz Paraoan | Pharmacist | Us-491, Shiprock, NM 87420-8742 | 2020-10-16 |
| 1083212534 | Keishla Marie Cortes Vera | Pharmacist | 7400 San Pedro Dr Ne Apt 1015, Albuquerque, NM 87109-4688 | 2020-10-15 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1689280125 | Perry Pedersen | Pharmacist | 13251 Chaco Canyon Ln Ne, Albuquerque, NM 87111-7117 | 2020-09-21 |
| 1891300174 | Veronica Chacon | Pharmacist | 8000 Montgomery Blvd Ne Apt 416, Albuquerque, NM 87109-1631 | 2020-09-13 |
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1962015883 | Uma Newton | Pharmacist | 2401 Indian Wells Rd, Alamogordo, NM 88310-4656 | 2020-08-29 |
| 1417569161 | Yountae Kim | Pharmacist | 780 Nicklaus Dr Se, Rio Rancho, NM 87124-3432 | 2020-08-22 |
| 1588275135 | Roopali Sharma | Pharmacist | 1501 San Pedro Dr Se Bldg 41, Albuquerque, NM 87108-5180 | 2020-08-16 |
| Find all providers with the same taxonomy | ||||
| City | RUIDOSO DOWNS |
| Zip Code | 88346 |
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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.