KELLI GOODWIN (NPI# 1962002014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962002014 |
| Entity Type | Individual |
| Full Name | KELLI GOODWIN |
| Credential | PHARMD |
| Practice Address |
621 N Expwy 77 Harlingen TX 78552-5202 |
| Practice Telephone | 9565077315 |
| Practice Fax Number | 9565077316 |
| Mailing Telephone | 9565077315 |
| Mailing Fax Number | 9565077316 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 47605 | TX | Pharmacy Service Providers |
| Street Address |
621 N EXPWY 77 |
| City | HARLINGEN |
| State | TX |
| Zip Code | 78552-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770030207 | Zifa Guerrero | Counselor | 5404 Guava Dr., Harlingen, TX 78552 | 2016-09-01 |
| 1801294483 | Metx, LLC | Audiologist-Hearing Aid Fitter | 2709 W Expy 83, Ste 140, Harlingen, TX 78552 | 2014-12-12 |
| 1093060980 | Lanning Blish | Technician/Technologist | 2000 S. Expressway Suite F03, Harlingen, TX 78552 | 2012-07-17 |
| 1457658114 | Leslie Castillo | Occupational Therapist | 24139 Brownstone Cr East, Harlingen, TX 78552 | 2011-02-16 |
| 1477785962 | Cima Hospice of The Valley East Lp | Hospice Care, Community Based | 2404 S Expressway 83, Suite A, Harlingen, TX 78552 | 2009-08-17 |
| 1215194857 | Best Home Health Care, Incorporated | Home Health | 8002 W. Expway 83, Suite B, Harlingen, TX 78552 | 2008-05-21 |
| 1841357290 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2002 S Expy 83, Valley Vista Mall, Harlingen, TX 78552 | 2007-01-03 |
| 1487745618 | Eyemasters of Texas Ltd | Eyewear Supplier (Equipment, not the service) | 2020 South Expressway, Suite 83, Harlingen, TX 78552 | 2006-09-26 |
| 1013017847 | Marianne Sparrow | Counselor | 5302 Guava Dr, Harlingen, TX 78552 | 2006-09-22 |
| 1427062215 | Ralph Nieto | Physiological Laboratory | 17745 Us Expressway 83, Harlingen, TX 78552 | 2006-07-28 |
| Find all providers in zip 78552 | ||||
| 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 |
|---|---|---|---|---|
| 1366056061 | Tuan Anh Mai | Pharmacist | 1921 S 77 Sunshinestrip, Harlingen, TX 78550-8272 | 2020-09-01 |
| 1598378077 | Bruce Dylan Bauer | Pharmacist | 1921 South Sunshine Strip, Harlingen, TX 78550 | 2020-08-25 |
| 1447803036 | Manuel Lorenzo Ruiz Jr. | Pharmacist | 1706 Treasure Hl Blvd, Harlingen, TX 78550-8911 | 2019-07-23 |
| 1023572062 | James Patrick Bryant | Pharmacist | 2601 Treasure Hills Blvd, Harlingen, TX 78550-8553 | 2019-01-23 |
| 1891160651 | Carlos Hector Luna | Pharmacist | 1921 S. 77 Sunshine Strip, Harlingen, TX 78550 | 2015-12-04 |
| 1487053625 | Regina Nichole Del Bosque | Pharmacist | 2106 Veterans Drive, Harlingen, TX 78550 | 2014-08-13 |
| 1477961639 | Elizabeth Rosas | Pharmacist | 1921 South 77 Sunshine Strip, Harlingen, TX 78550 | 2014-07-31 |
| 1679815146 | Abayomi George | Pharmacist | 1402 Vermont Apt 284, Harlingen, TX 78550-8920 | 2013-03-22 |
| 1063752152 | Liza Lopez | Pharmacist | 613 S Expressway 83, Harlingen, TX 78550-5905 | 2013-02-26 |
| 1669756656 | Cijo C James | Pharmacist | 118 E Harrison Ave, Harlingen, TX 78550-9132 | 2011-10-07 |
| Find all providers in HARLINGEN | ||||
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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.