Active NPI
Jaime Lynn Guatteri, PHARMD
- Pharmacist
- Weirton, WV
National Provider Identifier
1043560196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03325495-3
- Practice address
- 215 Lorraine Dr
Weirton, WV 26062-4032 - Phone
- (304) 374-0071
- Fax
- (740) 264-4238
- NPI assigned
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03325495-3 | OH | Primary |
Addresses
Primary practice location
215 Lorraine Dr
Weirton, WV 26062-4032
Mailing address
215 Lorraine Dr
Weirton, WV 26062-4032
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03325495-3 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1043560196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 LORRAINE DR",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260624032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 LORRAINE DR",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260624032",
"telephone_number": "304-374-0071",
"fax_number": "740-264-4238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUATTERI",
"first_name": "JAIME",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03325495-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.