BRADFORD KEITH GOODWIN (NPI# 1427657592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427657592 |
| Entity Type | Individual |
| Full Name | BRADFORD KEITH GOODWIN |
| Credential | PHARMD |
| Practice Address |
225 Hwy 30 W New Albany MS 38652 |
| Practice Telephone | 6625348044 |
| Mailing Telephone | 6625348044 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-13914 | MS | Pharmacy Service Providers |
| Street Address |
225 HWY 30 W |
| City | NEW ALBANY |
| State | MS |
| Zip Code | 38652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
| 1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
| 1417178161 | Shauna Marie Mills | Dental Hygienist | 110 N Camp, New Albany, MS 38652 | 2007-05-01 |
| Find all providers in zip 38652 | ||||
| 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 |
|---|---|---|---|---|
| 1811403439 | Brianna Combs | Pharmacist | 2202 E Spring St, New Albany, IN 47150-1563 | 2017-12-19 |
| 1003322785 | Frank Anthony Micchia IIi | Pharmacist | 5161 Hampsted Village Way, New Albany, OH 43054 | 2017-12-18 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1942671649 | Anita Solomon | Pharmacist | 3210 Hadleigh Pl, New Albany, IN 47150-9465 | 2015-10-07 |
| 1740656859 | Jana Brightwell | Pharmacist | 2125 State St Ste 17, New Albany, IN 47150-4972 | 2015-08-12 |
| 1669889309 | Amy Jones | Pharmacist | 4222 Charlestown Road, New Albany, IN 47150 | 2014-07-15 |
| 1730505108 | Bernard Bury Sr. | Pharmacist | 1170 Kames Way Dr, New Albany, OH 43054-9561 | 2014-03-10 |
| 1942555792 | Mark Edward Court | Pharmacist | 1945 State St, New Albany, IN 47150-4919 | 2012-07-18 |
| 1730470410 | Travis Wayland Jones | Pharmacist | 2022 E Spring St, New Albany, IN 47150-1665 | 2011-04-28 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 38652 |
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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.