KELLY GOODSON SUGARMAN (NPI# 1750890927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750890927 |
| Entity Type | Individual |
| Full Name | KELLY GOODSON SUGARMAN |
| Other Name | KELLY MAREE GOODSON |
| Credential | PHARMD |
| Practice Address |
1601 Brenner Ave Salisbury NC 28144-2515 |
| Mailing Address |
124 Island Ln Mooresville NC 28117-7471 |
| Practice Telephone | 8007069126 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
22170 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902921638 | Kelly Ann Sugarman | Physical Therapy Assistant | 84 Cold Hill Rd, Mendham, NJ 07945-2021 | 2007-03-20 |
| Street Address |
1601 BRENNER AVE |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953423 | Benjamin W Reese | Family Medicine | 1601 Brenner Ave, 11a W.g. Bill Hefner Medical Center, Salisbury, NC 28144 | 2005-06-23 |
| 1508467028 | Nicolas Hunter Johnson | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-11-02 |
| 1174123558 | Demarcus Swain Steele | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-27 |
| 1053911578 | Michelle Wilson | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1750980231 | Airington Tribble | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1467051946 | Whitney Mickens | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1134728611 | Matthew Agner | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1225637804 | Jackie Meggett | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| 1831798578 | Brittany Plummer | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| 1184223810 | Aleashia H Brandon | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700106325 | Mary Jayne Roswarski | Pharmacist | 1601 Brenner Ave Dept 119, Salisbury, NC 28144-2515 | 2010-06-05 |
| 1538625579 | Kyle Khai Tang | Pharmacist | 125 E North Pointe Dr, Salisbury, MD 21804-2283 | 2019-02-14 |
| 1164807897 | Courtney Slough | Pharmacist | 1601 Brenner Ave, Mental Health and Behavioral Sciences 11m-2, Salisbury, NC 28144-2515 | 2015-07-23 |
| 1265833552 | Tanaya Hampton | Pharmacist | 909 Mount Hermon Rd, Salisbury, MD 21804-5105 | 2014-09-05 |
| 1609205095 | Sandra Girgis | Pharmacist | 100 E Carroll St, Salisbury, MD 21801-5422 | 2013-11-06 |
| 1386909315 | Carolyn Jane Steber | Pharmacist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2012-07-05 |
| 1306101332 | Lauren Nicole Davis | Pharmacist | 1601 Brenner Ave, Pharmacy (119), Salisbury, NC 28144-2515 | 2012-07-05 |
| 1588974471 | Patrick Porter Dougherty | Pharmacist | 100 East Carroll St, Peninsula Regional Medical Center, Salisbury, MD 21801 | 2010-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506270 | Tyler Stone | Pharmacist | Medical Center Blvd 7th Floor Janeway Tower, Winston Salem, NC 27157-0001 | 2020-10-19 |
| 1366913030 | Chi Hornik | Pharmacist | Duke Children's Hospital Erwin Road, Durham, NC 27710-0001 | 2018-12-06 |
| 1255808234 | Cathy Wilson Fuquay | Pharmacist | 8519 Haw River Rd, Oak Ridge, NC 27310-9832 | 2018-10-29 |
| 1780162990 | Carol Lowe Holmes | Pharmacist | 2479 South Church Street, Address Line 2, Burlington, NC 27215-2721 | 2018-07-31 |
| 1528553575 | David Amtower | Pharmacist | 1100 Tunnel Rd Dept 119, Asheville, NC 28787-2576 | 2018-06-22 |
| 1235645961 | Donna Lynn Topping | Pharmacist | 20 Duke Medicine Cir # 2-2, Durham, NC 27710-2000 | 2017-12-18 |
| 1386156099 | Jungeun Ahn | Pharmacist | 507 Palafox Dr, Chapel Hill, NC 27516-1175 | 2017-11-03 |
| 1669929766 | Deborah Currie | Pharmacist | 6202 Marigold Ct, Waxhaw, NC 28173-8289 | 2016-09-06 |
| 1467905026 | Amarachi Enyinnaya | Pharmacist | 301 Crescendo Dr, Morrisville, NC 27560-5724 | 2016-08-01 |
| 1831557172 | Joe Brewton | Pharmacist | 4841 Linksland Dr, Holly Springs, NC 27540-8352 | 2016-02-01 |
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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.