Lori Ann Guereschi, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

050367 Issued in NY

Practice address

5399 W Genesee St
Camillus, NY 13031-2265

Phone

(315) 487-6714

Fax

(315) 487-0988

NPI assigned

Dec 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1376726638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5399 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312265",
            "telephone_number": "315-487-6714",
            "fax_number": "315-487-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312265",
            "telephone_number": "315-487-6714",
            "fax_number": "315-487-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERESCHI",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01826306",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Goodwin, LPN
• Elizabeth White Graham, RPH
• Christine Marie Granato, M.D.
• Jonathan Green, LPC
• Robin Meredith Greenberg, DPT
• Kelsey Haeck, MS, RDN
• Naimah Hameed
• Linda Mary Hammond, R.N, B.S.N.
• Jill Lynn Hanson, DPT
• Konstantinos Christos Hantzidiamantis, MD

• Pharmacist in Camillus, NY
• Providers in Camillus, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.