Active NPI
Travis D Guymon, PHARM.D.
- Pharmacist
- Provo, UT
National Provider Identifier
1427335603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7113517-1701
- Practice address
- 395 W Bulldog Blvd Ste 204
Provo, UT 84604 - Phone
- (801) 357-7333
- NPI assigned
- Nov 15, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66339 | CA | |
| Pharmacist | 183500000X | 7113517-1701 | UT | Primary |
Addresses
Primary practice location
395 W Bulldog Blvd Ste 204
Provo, UT 84604
Mailing address
395 W Bulldog Blvd Ste 204
Provo, UT 84604-3328
Phone (801) 357-7333
Other practice location 1
395 W Bulldog Blvd Ste 204
Provo, UT 84604
Phone (801) 357-7333
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
| License | State | Type | Specialty |
|---|---|---|---|
| 66339 | CA | MD | Clinical Social Worker |
| 7113517-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Past | Accepting new patients | |
| Ihc Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Community/Retail Pharmacy
- Provo, UT
- NPI 1326155037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1427335603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 W BULLDOG BLVD STE 204",
"city": "PROVO",
"state": "UT",
"postal_code": "846043328",
"telephone_number": "801-357-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 W BULLDOG BLVD STE 204",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-357-7333"
}
],
"practiceLocations": [
{
"address_1": "395 W Bulldog Blvd Ste 204",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "84604",
"country_code": "US",
"telephone_number": "801-357-7333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUYMON",
"first_name": "TRAVIS",
"middle_name": "D",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-15",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "66339",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "7113517-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.