Dominique M Guillet, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0032871 Issued in NY

Practice address

8417 Oswego Rd
Baldwinsville, NY 13027-8813

Phone

(315) 622-0749

NPI assigned

Jan 7, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1598940843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 OSWEGO RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130278813",
            "telephone_number": "315-622-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 OSWEGO RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130278813",
            "telephone_number": "315-622-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLET",
        "first_name": "DOMINIQUE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "0032871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Baldwinsville Ambulance Corp
• Erin Greenwood, CCC-SLP
• Gregory N Joy, MD PLLC
• Anthony J Grosso, R.PH.
• Christopher Jee Guido
• Lydia Louise Haenichen, LPN
• Sharon Tracey Hagadorn, SLP
• Maria Ann Hahn, M.ED
• Alexandra Halstead, LMHC
• Kelly E Hamilton, LMHC, CPT

• Pharmacist in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.