Individual provider Active NPI

Eileen McMahon Guse, RPH

  • Pharmacist
  • Burlington, NC
National Provider Identifier
1043339567
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12884 Issued in NC
Practice address
221 N Graham Hopedale Rd
Burlington, NC 27217-2971
Phone
(336) 532-0414
Fax
(336) 570-3752
NPI assigned
Mar 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12884 NC Primary

Addresses

Primary practice location

221 N Graham Hopedale Rd
Burlington, NC 27217-2971

Mailing address

3 Wyndham PL
Durham, NC 27705-6440
Phone (919) 382-2910

Other identifiers 1

IdentifierTypeStateIssuer
12884OtherNCNC BOP LICENSE NUMBER

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
12884NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043339567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WYNDHAM PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056440",
            "telephone_number": "919-382-2910",
            "fax_number": "336-570-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N GRAHAM HOPEDALE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172971",
            "telephone_number": "336-532-0414",
            "fax_number": "336-570-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSE",
        "first_name": "EILEEN",
        "middle_name": "MCMAHON",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "12884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOP LICENSE NUMBER",
            "identifier": "12884",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.