DR. SUSANNA GOODNITE (NPI# 1326648056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326648056 |
| Entity Type | Individual |
| Full Name | DR. SUSANNA GOODNITE |
| Credential | RPH |
| Practice Address |
201 Greasy Ridge Rd Princeton WV 24739-6900 |
| Mailing Address |
1041 Hickory Gate Rd Princeton WV 24739-6823 |
| Practice Telephone | 3044312105 |
| Practice Fax Number | 3044312116 |
| Mailing Telephone | 9196197481 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202211379 | VA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RP0007893 | WV | Pharmacy Service Providers |
| Street Address |
201 GREASY RIDGE RD |
| City | PRINCETON |
| State | WV |
| Zip Code | 24739-6900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093732133 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 201 Greasy Ridge Rd, Princeton, WV 24739-6900 | 2006-07-16 |
| 1407457229 | James Michael Bryant | Pharmacist | 201 Greasy Ridge Rd, Princeton, WV 24739-6900 | 2020-11-06 |
| 1699376020 | Mistelle H Scott | Pharmacist | 201 Greasy Ridge Rd, Princeton, WV 24739-6900 | 2020-11-03 |
| 1053912303 | Mary Beth Martin | Pharmacist | 201 Greasy Ridge Rd, Princeton, WV 24739-6900 | 2020-11-03 |
| 1891926473 | Westley Duane Carr | Optometrist | 201 Greasy Ridge Rd, Princeton, WV 24740-6900 | 2009-07-30 |
| 1104920396 | Wal-mart Stores East, Lp | Technician/Technologist | 201 Greasy Ridge Rd, Princeton, WV 24740-6900 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920072 | Sophia D Wilkins | Technician | 106 Mt. View Dr., Princeton, WV 24739 | 2020-10-21 |
| 1740709146 | Stonerise Reliable Healthcare LLC | Home Health | 1908 Glenwood Park Road, Princeton, WV 24739 | 2017-09-18 |
| 1982983995 | Steven Lee Collins | Specialist | 313 Court House Road Suite 2, Princeton, WV 24739 | 2011-08-08 |
| 1437470259 | Dana R. Deskins | Massage Therapist | 1772 Maple Acres Rd, Princeton, WV 24739 | 2010-06-16 |
| 1689157760 | Shannon Stephens | Speech-Language Pathologist | 2503 Goodwins Chapel Rd, Princeton, WV 24739-4484 | 2018-09-13 |
| 1700342961 | Michael S Scott | Rehabilitation Counselor | 12298 Ingleside Rd, Princeton, WV 24739-4590 | 2019-02-13 |
| 1619915915 | Priority One Home Care, LLC | Durable Medical Equipment & Medical Supplies | 2057 Athens Road, Princeton, WV 24739-6258 | 2006-06-02 |
| 1790170835 | Chad Williams | Emergency Medicine | 177 Highpoint Ln, Princeton, WV 24739-6454 | 2015-04-06 |
| 1427139260 | Joy Ann Butcher-winfree | Psychologist | 760 Horton Ln, Princeton, WV 24739-6755 | 2006-10-18 |
| 1750327342 | James P Morgan | Emergency Medicine | 277 Greasy Ridge Rd, Princeton, WV 24739-6900 | 2006-06-21 |
| Find all providers in zip 24739 | ||||
| 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 |
|---|---|---|---|---|
| 1104426568 | John Louis Putorek | Pharmacist | 176 Blueridge Ave, Princeton, WV 24740-4226 | 2020-10-27 |
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1871102384 | Chad Holzmeyer | Pharmacist | 101 W Brumfield Ave., Princeton, IN 47670 | 2020-07-30 |
| 1265082374 | Hyunjee Song | Pharmacist | 10 Scarlet Oak Dr, Princeton, NJ 08540-4610 | 2019-09-19 |
| 1255817565 | Asit Patel | Pharmacist | 18 Renfield Dr, Princeton, NJ 08540-6260 | 2018-07-19 |
| 1518456987 | Adel G. Said | Pharmacist | 16 Red Oak Row, Princeton, NJ 08540-2840 | 2018-05-01 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1861889990 | Melodie Grady | Pharmacist | 1143 Bear Creek Rd, Princeton, ID 83857-9753 | 2015-04-15 |
| 1184028268 | Stephen Gray Crowe | Pharmacist | 1229 Stafford Dr, Princeton, WV 24740-2465 | 2014-10-17 |
| 1174951784 | Venugopal Ghanta Venkata | Pharmacist | 261 Mather Ave, Princeton, NJ 08540-6440 | 2013-10-16 |
| Find all providers in PRINCETON | ||||
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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.