JACOB EDWIN GOODWIN (NPI# 1215286158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215286158 |
| Entity Type | Individual |
| Full Name | JACOB EDWIN GOODWIN |
| Credential | PHARMD |
| Practice Address |
7360 Skidaway Rd Savannah GA 31406 |
| Practice Telephone | 9126581440 |
| Mailing Telephone | 9126581440 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 25367 | GA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 12538 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962031914 | Jacob Goodwin | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-04-02 |
| Street Address |
7360 SKIDAWAY RD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437252251 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7360 Skidaway Rd, Savannah, GA 31406-4265 | 2006-09-07 |
| 1720497324 | Angela C. Canfield Dds PC | Dentist | 7360 Skidaway Rd, Suite H2, Savannah, GA 31406-4265 | 2014-08-07 |
| 1285982041 | Terry Durrence | Pharmacist | 7360 Skidaway Rd, Savannah, GA 31406-4265 | 2012-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| 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 |
|---|---|---|---|---|
| 1851920284 | Samantha Kerr | Pharmacist | 6709 Forest Park Dr, Savannah, GA 31406-2561 | 2020-04-07 |
| 1376017319 | Gregory Lloyd Alston | Pharmacist | 519 E Jones St, Savannah, GA 31401-4709 | 2019-01-13 |
| 1790258291 | Karisten Martin | Pharmacist | 105 Fawn Ln, Savannah, TN 38372-4999 | 2019-01-07 |
| 1922596642 | Steve Whitlow Cagle | Pharmacist | 25 Chickasaw Dr, Savannah, TN 38372-1152 | 2018-04-27 |
| 1891282950 | Sherry Ann Schoonover | Pharmacist | 175 Ji Bell Lane, Savannah, TN 38372 | 2018-04-15 |
| 1124540646 | Troy Heckman | Pharmacist | 205 S Us Highway 71, Savannah, MO 64485-1726 | 2017-07-17 |
| 1013453091 | Gregory Stajich | Pharmacist | 414 E Huntingdon St, Savannah, GA 31401-5719 | 2017-01-13 |
| 1053783662 | Jenny B Bartholomew | Pharmacist | 1975 E Montgomery Crossroad, Savannah, GA 31406 | 2015-10-22 |
| 1306267174 | Austin Brett Snyder | Pharmacist | 777 King George Blvd Unit 28, Savannah, GA 31419-8372 | 2013-12-22 |
| 1659708048 | Karissa Mizner Aktins | Pharmacist | 2 Saint Ives Dr, Savannah, GA 31419-8910 | 2013-10-01 |
| Find all providers in SAVANNAH | ||||
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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.