Deanna Marie Guilmette, RPH

Individual provider Active NPI Pharmacist · Leicester, MA

NPI 1245992452 · NPPES record last updated Oct 6, 2021

Key facts

NPI
1245992452
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
1280351 (MA)
Practice address
20 Soojian Dr
Leicester, MA 01524-1946
Phone
(508) 892-4058
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1280351MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East, LP Past
since Oct 10, 2021
Accepting new patients
Wal-Mart Stores East LP Past
since Oct 10, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1280351 MA Yes

Addresses

Primary practice location

20 Soojian Dr
Leicester, MA 01524-1946

Mailing address

20 Soojian Dr
Leicester, MA 01524-1946
Phone (508) 892-4058

Other providers in Leicester, MA

All providers in Leicester, MA · Pharmacist in Massachusetts

Sources for this page

Verify at the official NPI Registry.