Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1043864903 Deactivated / Inactive NPI Male Practitioner

John Wesley Goodman , RPH

Pharmacist • Malone, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Goodman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 30, 2019
NPI Deactivation Date March 08, 2022
Total Practice Duration ~3 Years of Practice (2019 – 2022)

Professional Overview & Biography Verified Profile Summary

John Goodman, RPH was a registered Pharmacist practicing in Malone, FL. Throughout an active medical career spanning 3 years, John Goodman provided care at the practice location at 5336 10TH ST until profile deactivation on 2022-03-08.

Practice Location & Contact Primary Location

Practice Address

5336 10th St

Malone, FL 324453429

Telephone 8505692021
Fax 8505692022
Associated Practice Facility / Clinic
🏢 Amerilink Ventures, Inc Facility NPI 1710140397

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Malone, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Malone, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS15651

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Jasmine Rojas , DMD

Dentist - General Practice

NPI 1235062316

Doctor of Dental Medicine

Kelley Kindelspire , APRN

Nurse Practitioner - Family

NPI 1497190508

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 08, 2022

Record deactivated on March 08, 2022

NPI Profile Active July 30, 2019

NPI status registered as active in NPPES database

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Updated Practice Location July 30, 2019

Registered at 5336 10TH ST, MALONE, FL 324453429 (Tel: 8505692021)

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Updated Business Mailing Address July 30, 2019

Registered at 5336 10TH ST, MALONE, FL 324453429 (Tel: 8505692021)

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Provider Name / Credentials Updated July 30, 2019

Recorded as JOHN GOODMAN, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2019

Pharmacist (License #PS15651 in FL)

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Initial NPI Registration & Enumeration July 30, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043864903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2019
Last Update: July 30, 2019
Deactivation Date: March 08, 2022

Mailing Address

5336 10th St

Malone, FL 324453429

Phone: 8505692021

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.