Active NPI
Lori Lea Guymon, RPH
- Pharmacist
- Rapid City, SD
National Provider Identifier
1578154795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R4351
- Practice address
- 1902 Mount Rushmore Rd
Rapid City, SD 57701-4621 - Phone
- (605) 342-0194
- NPI assigned
- Jan 30, 2021
- Sex
- Female
- 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 | R4351 | SD | Primary |
Addresses
Primary practice location
1902 Mount Rushmore Rd
Rapid City, SD 57701-4621
Mailing address
1902 Mt Rushmore Rd
Rapid City, SD 57701
Phone (605) 342-0194
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 |
|---|---|---|---|
| R4351 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1902 Mount Rushmore Rd
Rapid City, SD 57701
Phone (605) 342-0194
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611964800000",
"number": "1578154795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 MT RUSHMORE RD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-342-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 MOUNT RUSHMORE RD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577014621",
"telephone_number": "605-342-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUYMON",
"first_name": "LORI",
"middle_name": "LEA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-30",
"last_updated": "2021-01-30",
"certification_date": "2021-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "R4351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.