Robert Steven Guynn, RPH
Individual provider Active NPI Pharmacist · Prospect, CT
NPI 1639739550 · NPPES record last updated Jun 13, 2019
Key facts
- NPI
- 1639739550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0005626 (CT)
- Practice address
- 8 Amber CT
Prospect, CT 06712-1801 - Phone
- (860) 982-2831
- Fax
- (203) 574-4972
- NPI assigned
- Jun 13, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0005626 | CT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0005626 | CT | Yes |
Addresses
Primary practice location
8 Amber CT
Prospect, CT 06712-1801
Mailing address
8 Amber CT
Prospect, CT 06712-1801
Phone (860) 982-2831
Other practice location 1
256 Bunker Hill Ave
Waterbury, CT 06708-1999
Phone (203) 755-0788
Other providers in Prospect, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.