IndividualActive
Jordan Goddard, PHARM.D
NPI 1619510963 · Pharmacist · Appleton, WI
Jordan Goddard, PHARM.D is a Pharmacist provider in Appleton, WI (NPI 1619510963).
Provider details
- NPI number
- 1619510963
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D
- Sex
- Male
- Sole proprietor
- No
- License
- 18841 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5401 W Integrity Way
Appleton, WI 54913-8602
Phone: (920) 815-4510
Street-level locationGet directions
Mailing address
3143 Hidden Pond Rd
Suamico, WI 54313-8369
Additional practice locations (2)
- 835 S Van Buren StGreen Bay, WI 54301-3526Phone: (920) 433-8102
- 855 S Main StOconto Falls, WI 54154-1241Phone: (920) 846-8059
Registry dates
- Enumerated
- 2019-10-18
- Last updated
- 2019-10-18
Frequently asked questions
- What is Jordan Goddard's NPI number?
- Jordan Goddard's National Provider Identifier (NPI) is 1619510963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Goddard's specialty?
- Jordan Goddard is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jordan Goddard located?
- Jordan Goddard's practice location on file with NPPES is 5401 W Integrity Way, Appleton, WI 54913-8602.
- What is Jordan Goddard's phone number?
- The practice phone number listed in the NPPES registry for Jordan Goddard is (920) 815-4510.
- Is Jordan Goddard's NPI active?
- Yes — Jordan Goddard's NPI (1619510963) is active in the NPPES registry as of the last update on 2019-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.