Active NPI
Kayla Guy
- Pharmacist
- South Sioux City, NE
National Provider Identifier
1598383028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16446
- Practice address
- 1030 W 21St St
South Sioux City, NE 68776-2661 - Phone
- (402) 494-8827
- NPI assigned
- Jul 10, 2020
- 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 | 16446 | NE | Primary |
Addresses
Primary practice location
1030 W 21St St
South Sioux City, NE 68776-2661
Mailing address
1016 E 17TH St Apt 425
South Sioux City, NE 68776-2591
Phone (402) 360-2210
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16446 | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1030 W 21st St
South Sioux City, NE 68776
Phone (402) 494-2144
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": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1598383028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 E 17TH ST APT 425",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687762591",
"telephone_number": "402-360-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 W 21ST ST",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687762661",
"telephone_number": "402-494-8827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUY",
"first_name": "KAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-10",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "16446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.