Individual provider Active NPI

Mark Raymond Guinup Jr., PHARMD

  • Pharmacist
  • Lawton, OK
National Provider Identifier
1023440849
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15461 Issued in OK
Practice address
2030 NW 82ND St
T-2739
Lawton, OK 73505-2355
Phone
(580) 354-7275
Fax
(580) 354-7285
NPI assigned
Aug 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15461 OK Primary

Addresses

Primary practice location

2030 NW 82ND St
T-2739
Lawton, OK 73505-2355

Mailing address

2030 NW 82ND St
T-2739
Lawton, OK 73505-2355
Phone (580) 354-7275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
15461OKMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1023440849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 NW 82ND ST",
            "address_2": "T-2739",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052355",
            "telephone_number": "580-354-7275",
            "fax_number": "580-354-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 NW 82ND ST",
            "address_2": "T-2739",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052355",
            "telephone_number": "580-354-7275",
            "fax_number": "580-354-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINUP",
        "first_name": "MARK",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "15461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.