Active NPI
Patty Guinn, PHARM.D.
- Pharmacist
- Burnside, KY
National Provider Identifier
1104412766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 008285
- Practice address
- 51 W. Lakeshore Dr.
Burnside, KY 42519 - Phone
- (606) 305-1028
- Fax
- (606) 561-9205
- NPI assigned
- Dec 17, 2020
- Last updated
- Dec 17, 2020
- 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 | 008285 | KY | Primary |
Addresses
Primary practice location
51 W. Lakeshore Dr.
Burnside, KY 42519
Mailing address
51 W. Lakeshore Dr.
Burnside, KY 42519
Phone (606) 305-1028
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 |
|---|---|---|---|
| 008285 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Pharmacy Inc. | Pharmacist | Current | Accepting new patients |
Locations
51 W Lakeshore Dr
Burnside, KY 42519
Phone (606) 305-1028
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1104412766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 W. LAKESHORE DR.",
"city": "BURNSIDE",
"state": "KY",
"postal_code": "42519",
"telephone_number": "606-305-1028",
"fax_number": "606-561-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 W. LAKESHORE DR.",
"city": "BURNSIDE",
"state": "KY",
"postal_code": "42519",
"telephone_number": "606-305-1028",
"fax_number": "606-561-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUINN",
"first_name": "PATTY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "008285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnside, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.