Active NPI
Ross Phillip Guastella, R.PH.
- Pharmacist
- Memphis, TN
National Provider Identifier
1104167576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- T-12757
- Practice address
- 4300 New Getwell Rd
Memphis, TN 38118-6801 - Phone
- (901) 341-3606
- NPI assigned
- Mar 11, 2013
- Sex
- Male
- 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 | T-12757 | MS | Primary |
Addresses
Primary practice location
4300 New Getwell Rd
Memphis, TN 38118-6801
Mailing address
142 Victoria PL
Madison, MS 39110-5502
Phone (901) 341-3603
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
| License | State | Type | Specialty |
|---|---|---|---|
| T-12757 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1104167576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 VICTORIA PL",
"city": "MADISON",
"state": "MS",
"postal_code": "391105502",
"telephone_number": "901-341-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 NEW GETWELL RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381186801",
"telephone_number": "901-341-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUASTELLA",
"first_name": "ROSS",
"middle_name": "PHILLIP",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-11",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-12757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.