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Dawn R Goodwin , RPH

Physician β€’ Fort Recovery, OH

Active NPI 1770645293 Individual Practitioner Female Practitioner
Practice location in NPPES

102 N Wayne St
Fort Recovery, OH 458468059

Call 4193752323 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

102 N Wayne St

Fort Recovery, OH 458468059

Telephone 4193752323
Fax 4193754488
Organization at the Same NPPES Address or Phone
Kaup Pharmacy Inc Facility NPI 1609378611

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-07-13
Pharmacy - Community/Retail Pharmacy Primary Specialty

NUCC Taxonomy Code: 3336C0003X

License # reported to NPPES OH 030122789

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 13, 2020

Registered at 102 N WAYNE ST, FORT RECOVERY, OH 458468059 (Tel: 4193752323)

πŸ“
Updated Business Mailing Address July 13, 2020

Registered at 102 N WAYNE ST, FORT RECOVERY, OH 458468059 (Tel: 4193752323)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2020

Pharmacy (license number reported to NPPES: OH 030122789)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 42 W MAIN ST, VERSAILLES, OH 453801214 (Tel: 9375263331)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 2144 BUCKEYE ST, MARIA STEIN, OH 458609539 (Tel: 4199254131)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as DAWN GOODWIN, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (license number reported to NPPES: OH 03-1-22789)

🟒
Initial NPI Registration & Enumeration December 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770645293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2006
Last Update: July 13, 2020
Sole Proprietor: Yes

Mailing Address

102 N Wayne St

Fort Recovery, OH 458468059

Phone: 4193752323

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.