Individual provider Active NPI

Chantelle Susan Guden, CPHT

  • Pharmacy Technician
  • Virginia Beach, VA
National Provider Identifier
1518543701
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
0230023516 Issued in VA
Practice address
2021 Lynnhaven Pkwy
Virginia Beach, VA 23456-1410
Phone
(757) 416-3490
NPI assigned
Mar 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 0230023516 VA Primary

Addresses

Primary practice location

2021 Lynnhaven Pkwy
Virginia Beach, VA 23456-1410

Mailing address

2021 Lynnhaven Pkwy
Virginia Beach, VA 23456-1410
Phone (757) 416-3490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csguden.s02529@wal-mart.com Direct Wal-Mart Stores East , LP

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

State licenses

LicenseStateTypeSpecialty
0230023516VAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1518543701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 LYNNHAVEN PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561410",
            "telephone_number": "757-416-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 LYNNHAVEN PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561410",
            "telephone_number": "757-416-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDEN",
        "first_name": "CHANTELLE",
        "middle_name": "SUSAN",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "VA",
            "license": "0230023516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csguden.s02529@wal-mart.com",
            "affiliation": "Y",
            "endpointDescription": "work e-mail",
            "affiliationName": "Wal-Mart Stores East , LP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2021 Lynnhaven Pkwy",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234561410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.