Mary Ann Gusakov-Mason, PHARM.D.

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

06559 Issued in NV

Practice address

6900 North Pecos Road
Pharmacy Department #119
North Las Vegas, NV 89086

Phone

(702) 791-9000

Fax

(702) 224-6900

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1629026943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 NORTH PECOS ROAD",
            "address_2": "PHARMACY DEPARTMENT #119",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89086",
            "telephone_number": "702-791-9000",
            "fax_number": "702-224-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 NORTH PECOS ROAD",
            "address_2": "PHARMACY DEPARTMENT #119",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89086",
            "telephone_number": "702-791-9000",
            "fax_number": "702-224-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSAKOV-MASON",
        "first_name": "MARY ANN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NV",
            "license": "06559",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NV",
            "license": "06559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Marion Guingon
• Amanda Gullickson, PHARMD
• Marcia Gunawan, MA/CCC-SLP
• Charu Dhingra Gupta, M.D.
• Alexandra Gurgu, PHARM D
• Tanna Jolene Gushiken, OTR/L
• Arlene Gusman
• Carlos Martin Gutierrez
• Carlos Mitchell Gutierrez
• Jessica Gutierrez

• Geriatric Pharmacist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Geriatric Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.