Jacob Luis Goudy, PHARMD - Pharmacist in North Salt Lake, UT

Jacob Luis Goudy, PHARMD is a Pharmacist based in North Salt Lake, Utah. Jacob Luis Goudy is licensed to practice in Utah (license number 6661108-1701) and his current practice location is 669 W 900 N, North Salt Lake, Utah. He can be reached at his office (for appointments etc.) via phone at (888) 222-2956.

NPI number for Jacob Luis Goudy is 1790379915 and his current mailing address is 120 N Village Way, Fruit Heights, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790379915.

Contact Information

Jacob Luis Goudy, PHARMD
669 W 900 N,
North Salt Lake, UT 84054-2602
(888) 222-2956
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJacob Luis Goudy
GenderMale
SpecialityPharmacist
Location669 W 900 N, North Salt Lake, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790379915
  • Provider Enumeration Date: 02/28/2021
  • Last Update Date: 02/28/2021

Medical Identifiers

Medical identifiers for Jacob Luis Goudy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790379915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 6661108-1701 (Utah)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. Jacob Luis Goudy 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 AddressPractice Location Address
Jacob Luis Goudy, PHARMD
120 N Village Way,
Fruit Heights, UT 84037-2178

Ph: (801) 647-3604
Jacob Luis Goudy, PHARMD
669 W 900 N,
North Salt Lake, UT 84054-2602

Ph: (888) 222-2956

Reviews and Comments


Pharmacist in North Salt Lake, UT

Chelise Montague, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 669 W 900 N, North Salt Lake, UT 84054
Phone: 801-294-1400    
Ms. Carie T Thompson, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 669 W 900 N, North Salt Lake, UT 84054
Phone: 801-294-1400    
Clayton J Carter, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 160 Cutler Dr, North Salt Lake, UT 84054
Phone: 385-324-2508    
Chad Holley, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 669 W 900 N, North Salt Lake, UT 84054
Phone: 888-222-2956    
Kylee Shumway, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 160 Cutler Dr, North Salt Lake, UT 84054
Phone: 853-242-5083    
Bethany Jones, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 669 W 900 N, North Salt Lake, UT 84054
Phone: 801-294-1400    
Eric Hasebi, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 160 Cutler Dr, North Salt Lake, UT 84054
Phone: 385-324-2508    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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