Active NPI
Paul R Guillette, RPH
- Pharmacist
- Santa Fe, NM
National Provider Identifier
1407163264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00006046
- Practice address
- 4403 Long Shadow LN
Santa Fe, NM 87507-0827 - Phone
- (505) 670-2741
- NPI assigned
- Aug 31, 2010
- Last updated
- Aug 31, 2010
- Sex
- Male
- 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 | RP00006046 | NM | Primary |
Addresses
Primary practice location
4403 Long Shadow LN
Santa Fe, NM 87507-0827
Mailing address
4403 Long Shadow LN
Santa Fe, NM 87507-0827
Phone (505) 670-2741
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP00006046 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1407163264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 LONG SHADOW LN",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875070827",
"telephone_number": "505-670-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 LONG SHADOW LN",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875070827",
"telephone_number": "505-670-2741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLETTE",
"first_name": "PAUL",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-31",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00006046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.