Individual provider Active NPI

Kristen Marie Guiliano, PHARMD

  • Pharmacist
  • Plattsmouth, NE
National Provider Identifier
1356944540
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16129 Issued in NE
Practice address
16418 Westside Dr
Plattsmouth, NE 68048-6102
Phone
(402) 296-6900
Fax
(402) 296-6990
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16129 NE Primary

Addresses

Primary practice location

16418 Westside Dr
Plattsmouth, NE 68048-6102

Mailing address

16418 Westside Dr
Plattsmouth, NE 68048-6102
Phone (402) 296-6900

Other identifiers 1

IdentifierTypeStateIssuer
16129OtherNEPHARMACIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 1527pharmacydept@hy-vee.com Direct

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

State licenses

LicenseStateTypeSpecialty
16129NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1356944540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16418 WESTSIDE DR",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680486102",
            "telephone_number": "402-296-6900",
            "fax_number": "402-296-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16418 WESTSIDE DR",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680486102",
            "telephone_number": "402-296-6900",
            "fax_number": "402-296-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILIANO",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "16129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "16129",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "1527pharmacydept@hy-vee.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16418 Westside Dr",
            "city": "Plattsmouth",
            "state": "NE",
            "country_code": "US",
            "postal_code": "680486102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plattsmouth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.