Individual provider Active NPI

Gary Deguire, PHARM D

  • Pharmacist
  • Walnut Creek, CA
National Provider Identifier
1316479074
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42607 Issued in CA
Practice address
2880 Shadelands Dr Ste 201
Walnut Creek, CA 94598-2524
Phone
(925) 979-6805
NPI assigned
Mar 31, 2017
Last updated
Mar 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42607 CA Primary

Addresses

Primary practice location

2880 Shadelands Dr Ste 201
Walnut Creek, CA 94598-2524

Mailing address

2880 Shadelands Dr Ste 201
Walnut Creek, CA 94598-2524
Phone (925) 979-6805

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

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1316479074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 SHADELANDS DR STE 201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982524",
            "telephone_number": "925-979-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 SHADELANDS DR STE 201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982524",
            "telephone_number": "925-979-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUIRE",
        "first_name": "GARY",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "42607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.