DR. JERICA L GOODWIN (NPI# 1114032299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114032299 |
| Entity Type | Individual |
| Full Name | DR. JERICA L GOODWIN |
| Credential | PHARMD |
| Practice Address |
4500 S Lancaster Rd # 119c Dallas TX 75216-7167 |
| Mailing Address |
1407 Levee Ln Cedar Hill TX 75104-4009 |
| Practice Telephone | 2147428387 |
| Practice Fax Number | 2143021403 |
| Mailing Telephone | 4692727998 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS36165 | FL | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
41233 | TX | Pharmacy Service Providers |
| Street Address |
4500 S LANCASTER RD # 119C |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-7167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942588512 | Frank Chen | Pharmacist | 4500 S Lancaster Rd # 119c, Dallas, TX 75216-7167 | 2011-07-29 |
| 1134234693 | Rick Allen Weideman | Pharmacist | 4500 S Lancaster Rd # 119c, Dallas, TX 75216-7167 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657778 | John Joseph Mondin II | Pharmacist | 11970 N Central Expy Ste 340, Dallas, TX 75243-3787 | 2015-04-26 |
| 1053710905 | Marcus Arthur Kouma | Pharmacist | 4500 S Lancaster Rd (119), Dallas, TX 75216-7167 | 2014-08-16 |
| 1700064649 | Susan Duquaine | Pharmacist | 4500 S Lancaster Rd # 119, Dallas, TX 75216-7167 | 2008-02-02 |
| 1326261165 | Christy Vaughan | Pharmacist | 1441 N. Beckley Ave, Pharmacy Dept, Dallas, TX 75203 | 2007-04-10 |
| 1285779199 | Lord and A. Pharmacy | Pharmacist | 2949 Martin Luther King Jr Blvd Ste 1, Dallas, TX 75215-6317 | 2007-02-20 |
| 1760573265 | April Yvette Allen | Pharmacist | 4500 S Lancaster Rd Bldg 7 Rm 119-a, Dallas, TX 75216-7167 | 2006-09-27 |
| 1073611588 | Ronald Gene Hall II | Pharmacist | 4500 Lancaster, Bldg 7, R# 119a, Dallas, TX 75216 | 2006-09-20 |
| 1740394394 | Carlos A Alvarez | Pharmacist | 4500 S Lancaster Rd Bldg 7-r # 119a, Dallas, TX 75216-7167 | 2006-08-19 |
| 1871586347 | Bridget Paravattil | Pharmacist | 1400 N Westmoreland Rd, Dallas, TX 75211-1656 | 2005-08-30 |
| 1992702500 | Steve Micheal Boatright | Pharmacist | 9739 Parkford Dr, Dallas, TX 75238-3316 | 2005-06-29 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on DR. JERICA L GOODWIN.
| 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.