Ms Jacqueline Diane Goodkin, PHARMD is a
Pharmacist - Pharmacotherapy based in Fargp, North Dakota. Ms Jacqueline Diane Goodkin is licensed to practice in North Dakota (license number 3023) and her current practice location is
2101 Elm St N, Fargp, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 239-3700.
NPI number for Ms Jacqueline Diane Goodkin is 1891898136 and her current mailing address is 1454 River Rd S, Fargo, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891898136.
Healthcare Provider's Profile
Full Name | Ms Jacqueline Diane Goodkin |
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Gender | Female |
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Speciality | Pharmacist - Pharmacotherapy |
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Location | 2101 Elm St N, Fargp, North Dakota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891898136
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Jacqueline Diane Goodkin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891898136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P1200X | Pharmacist - Pharmacotherapy | 3023 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacqueline Diane Goodkin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jacqueline Diane Goodkin, PHARMD 1454 River Rd S, Fargo, ND 58103-4325 Ph: (701) 239-3700 | Ms Jacqueline Diane Goodkin, PHARMD 2101 Elm St N, Fargp, ND 58102 Ph: (701) 239-3700 |
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