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JORDAN GODDARD PHARM.D
NPI 1619510963
Pharmacist in Appleton, WI

Active since October 18, 2019
5401 W INTEGRITY WAY, APPLETON, WI 54913(920) 815-4510 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Goddard Pharm.d NPPES

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

JORDAN GODDARD PHARM.D (NPI 1619510963) is an individual pharmacist in Appleton, Wisconsin, licensed in Wisconsin (18841) and active in the NPI registry since October 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619510963
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJORDAN GODDARDCredential: PHARM.D
Location Address5401 W INTEGRITY WAYAppleton, WI 54913-8602
Mailing Address3143 Hidden Pond RdSuamico, WI 54313-8369 · (920) 619-2672
Phone(920) 815-4510
Sole ProprietorNo
Enumeration DateOctober 18, 2019
✔ NPI 1619510963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WI · 18841
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.
5401 W INTEGRITY WAY, Appleton, WI 54913
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Secondary Practice Locations 2

Location 1855 S Main StOconto Falls, WI 54154-1241 · Phone (920) 846-8059
Location 2835 S Van Buren StGreen Bay, WI 54301-3526 · Phone (920) 433-8102

Other Providers at the Same Location NPPES 2

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

KAYLA ANN STANKOWSKI JOHNSON LAT, ATC
Specialist/Technologist (Athletic Trainer)
5401 W INTEGRITY WAY
APPLETON, WI 54913
Outagamie County (844) 274-6849
COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
5401 W INTEGRITY WAY
GRAND CHUTE, WI 54913
Outagamie County (920) 363-7010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Goddard's NPI number?

The NPI number for Jordan Goddard is 1619510963. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is Jordan Goddard located?

Jordan Goddard practices at 5401 W Integrity Way, Appleton, WI 54913. The listed phone number is (920) 815-4510.

What is Jordan Goddard's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jordan Goddard was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.