Jennie Goodman, rph
Pharmacist in Blountstown, FL. Individual provider (NPI-1).
NPI number1508908963
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1508908963
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennie Goodman
- Credential
- rph
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | ps14766 | FL | Yes |
Practice location
17324 Main St NBlountstown, FL 32424-1763
Phone 850-674-4557
Mailing address
1510 Jenkins AveBonifay, FL 32425-3159
Phone 850-547-0414
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacist providers in Blountstown, FL
- Blountstown Drug INC.NPI 1225100621
- Clifford Dowling Goodman, RPHNPI 1750423331
- Howell Stewart Goodman, RPHNPI 1770628315
- Alexandra Kimbrel, PHARM.D.NPI 1770793184
- Jon Mark Plummer, R.PH.NPI 1205420775
- Patrick Farrell Wahlquist, RPHNPI 1952443301
All 7 Pharmacist providers in Blountstown · All 168 providers in Blountstown
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