Individual provider Active NPI

Susan Lee Guinn, RPH

  • Pharmacist
  • Cheboygan, MI
National Provider Identifier
1306168927
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302022350 Issued in MI
Practice address
1131 E State St
Cheboygan, MI 49721-2124
Phone
(231) 627-7139
Fax
(231) 627-5358
NPI assigned
Feb 23, 2010
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302022350 MI Primary

Addresses

Primary practice location

1131 E State St
Cheboygan, MI 49721-2124

Mailing address

1131 E State St
Cheboygan, MI 49721-2124
Phone (231) 627-7139

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

LicenseStateTypeSpecialty
5302022350MIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1306168927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E STATE ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212124",
            "telephone_number": "231-627-7139",
            "fax_number": "231-627-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 E STATE ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212124",
            "telephone_number": "231-627-7139",
            "fax_number": "231-627-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINN",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302022350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.