JUSTIN DWIGHT GOODRICH PHARMD
NPI 1396478095
Pharmacist in Caldwell, ID

Active since July 08, 2022
2107 BLAINE ST, CALDWELL, ID 83605(208) 455-1094 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Justin Dwight Goodrich Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN DWIGHT GOODRICH PHARMD (NPI 1396478095) is an individual pharmacist in Caldwell, Idaho, licensed in Idaho (P10078) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1396478095
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJUSTIN DWIGHT GOODRICHCredential: PHARMD
Location Address2107 BLAINE STCaldwell, ID 83605-4427
Mailing Address8510 W Hill Road PkwyBoise, ID 83714-2500 · (208) 968-8231
Sole ProprietorNo
Enumeration DateJuly 8, 2022
NPPES CertifiedJuly 8, 2022
NPI 1396478095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · P10078
Definition

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.

2107 BLAINE ST, Caldwell, ID 83605

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
2107 BLAINE ST
CALDWELL, ID 83605
Pharmacy (Community/Retail Pharmacy)
2107 BLAINE ST
CALDWELL, ID 83605
Pharmacy Technician
2107 BLAINE ST
CALDWELL, ID 83605
Pharmacist
2107 BLAINE ST
CALDWELL, ID 83605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396478095, enumerated as an "individual" on July 08, 2022.

The provider is located at 2107 BLAINE ST CALDWELL, ID 83605 and the phone number is (208) 455-1094.

Pharmacist with taxonomy code 183500000X.