Active NPI
Jennifer Guerra
- Pharmacist
- Cumming, GA
National Provider Identifier
1306129416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH024161
- Practice address
- 3290 Keith Bridge Rd
Cumming, GA 30041-3937 - Phone
- (770) 886-3202
- NPI assigned
- Sep 25, 2011
- Sex
- Female
- Sole proprietor
- No
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 | RPH024161 | GA | Primary |
Addresses
Primary practice location
3290 Keith Bridge Rd
Cumming, GA 30041-3937
Mailing address
3290 Keith Bridge Rd
Cumming, GA 30041-3937
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 |
|---|---|---|---|
| RPH024161 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3290 Keith Bridge Rd
Cumming, GA 30041
Phone (770) 886-3202
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1306129416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 KEITH BRIDGE RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300413937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3290 KEITH BRIDGE RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300413937",
"telephone_number": "770-886-3202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-25",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH024161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.