Active NPI
Candace Yvette Guyton, RPH
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1447437629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS28702
- Practice address
- 12525 Lochloosa LN
Jacksonville, FL 32218-2344 - Phone
- (904) 766-5210
- NPI assigned
- Jan 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | PS28702 | FL | Primary |
Addresses
Primary practice location
12525 Lochloosa LN
Jacksonville, FL 32218-2344
Mailing address
12525 Lochloosa LN
Jacksonville, FL 32218-2344
Phone (904) 766-5210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS028702 | Other | FL | PHARMACIST |
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 |
|---|---|---|---|
| PS28702 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1447437629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12525 LOCHLOOSA LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322182344",
"telephone_number": "904-766-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12525 LOCHLOOSA LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322182344",
"telephone_number": "904-766-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUYTON",
"first_name": "CANDACE",
"middle_name": "YVETTE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS28702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "PS028702",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.