MS. SALLY LYNNE GOODSON (NPI# 1629425012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629425012 |
Entity Type | Individual |
Full Name | MS. SALLY LYNNE GOODSON |
Credential | R.PH. |
Practice Address |
2622 W Central Ave Suite 302 Wichita KS 67203-4969 |
Practice Telephone | 3162653300 |
Practice Fax Number | 3162653304 |
Mailing Telephone | 3162653300 |
Mailing Fax Number | 3162653304 |
Enumeration Date | 2016-05-16 |
Last Update Date | 2016-05-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
9677 | KS | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | NABP | 709829 | 01 |
Street Address |
2622 W CENTRAL AVE SUITE 302 |
City | WICHITA |
State | KS |
Zip Code | 67203-4969 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326037672 | Rodney Martin Railsback | Pharmacist | 2622 W Central Ave, Suite 302, Wichita, KS 67203-4969 | 2005-10-19 |
1639622251 | Angela Little | Pharmacist | 2622 W Central Ave, Ste 302, Wichita, KS 67203-4969 | 2016-08-01 |
1215320437 | Hudson Holdings, Inc | Pharmacist | 2622 W Central Ave, Wichita, KS 67203-4969 | 2015-03-12 |
1215361365 | William Blake Coultis | Pharmacist | 2622 W Central Ave, Ste 302, Wichita, KS 67203-4969 | 2013-08-26 |
1700229036 | Via Christi Care At Home | Emergency Response System Companies | 2622 W Central Ave, Suite 100, Wichita, KS 67203-4969 | 2013-04-17 |
1427393859 | Joy Dell Sloan | Registered Nurse | 2622 W Central Ave, Suite 500, Wichita, KS 67203-4969 | 2012-12-12 |
1932410453 | Via Christi Healthcare Outreach Program for Elders, Inc | Family Medicine | 2622 W Central Ave, #101, Wichita, KS 67203-4969 | 2010-06-30 |
1568670453 | Via Christi Healthcare Outreach Program for The Elderly, Inc. | PACE Provider Organization | 2622 W Central Ave, Wichita, KS 67203-4902 | 2007-05-21 |
1629281639 | Lindsey Votaw | Pharmacist | 2622 W Central Ave, Suite 302, Wichita, KS 67203-4969 | 2007-05-07 |
1811021132 | Faith In Home Services, LLC | Home Health | 2622 W Central Ave, Suite 401a, Wichita, KS 67203-4969 | 2007-03-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
Find all providers in zip 67203 |
Taxonomy Code | 1835G0303X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Geriatric |
A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639562218 | Lee W Gerber | Pharmacist | 14147 W Onewood Ct, Wichita, KS 67235-3412 | 2015-03-06 |
1215320437 | Hudson Holdings, Inc | Pharmacist | 2622 W Central Ave, Wichita, KS 67203-4969 | 2015-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245737196 | Amy Hathaway | Pharmacist | 19512 W 97th Ter, Lenexa, KS 66220-3345 | 2018-04-08 |
1568829141 | Judd Carpenter | Pharmacist | 13634 W 129th Pl, Olathe, KS 66062-8824 | 2016-01-27 |
1083982102 | James Cram | Pharmacist | 650 Rockview Rd, Salina, KS 67401-3359 | 2011-12-03 |
1417177049 | Rhonda K Hornberger | Pharmacist | 4600 College Blvd Ste 103, Overland Park, KS 66211-1606 | 2007-04-26 |
1790835833 | Michael Edward Coast | Pharmacist | 100 West Ave A, Suite B, Cimarron, KS 67835-0191 | 2007-01-11 |
1952856734 | Kendra Strum | Pharmacist | 121 Se 6th Ave, Topeka, KS 66603-3516 | 2016-08-22 |
1255735528 | John Irwin Brown | Pharmacist | 401 Cheyenne, Satanta, KS 67870-8748 | 2014-10-15 |
1043591647 | Chris Charles Henington | Pharmacist | 4101 S 4th St, Dwight Eisenhower Va Medical Center, Leavenworth, KS 66048-5014 | 2011-09-09 |
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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.