Active NPI
Adelina Lynn Guzman
- Pharmacist
- Kennewick, WA
National Provider Identifier
1245014265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61453212
- Practice address
- 2800 W Clearwater Ave
Kennewick, WA 99336-2945 - Phone
- (509) 783-5412
- Fax
- (509) 783-5479
- NPI assigned
- Aug 21, 2023
- Last updated
- Aug 21, 2023
- 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 | PH61453212 | WA | Primary |
Addresses
Primary practice location
2800 W Clearwater Ave
Kennewick, WA 99336-2945
Mailing address
2700 Grayhawk Loop
Richland, WA 99354-4503
Phone (509) 554-8500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH61453212 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2800 W Clearwater Ave
Kennewick, WA 99336
Phone (509) 783-5412
Organizations & group practices 2
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": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1245014265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 GRAYHAWK LOOP",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993544503",
"telephone_number": "509-554-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362945",
"telephone_number": "509-783-5412",
"fax_number": "509-783-5479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "ADELINA",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61453212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.