Richard W Gustin, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00008051 Issued in WA

Practice address

1708 South Yakima Avenue
Suite 201
Tacoma, WA 98405-5307

Phone

(253) 426-6920

Fax

(253) 426-6420

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083755854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 16TH AVENUE CT SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724817",
            "telephone_number": "253-426-6920",
            "fax_number": "253-426-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 SOUTH YAKIMA AVENUE",
            "address_2": "SUITE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055307",
            "telephone_number": "253-426-6920",
            "fax_number": "253-426-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTIN",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00008051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Gustafson
• Kaelynne Gustafson
• Kimberly Rae Gustafson, MN, NNP, ARNP
• Susan Gustafson, CTRS
• Wanda T Gustafson
• Stephanie Marie Guthrie, L.M.P.
• Maria Soledad Gutierrez Gutierrez, CBT
• Odiva Rocio Gutierrez Lopez
• Ada Gutierrez, RN
• Alexis Gutierrez

• Pharmacist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pharmacist in Washington

• 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.