Individual provider Active NPI

Robert Steven Guynn, RPH

  • Pharmacist
  • Prospect, CT
National Provider Identifier
1639739550
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0005626 Issued in CT
Practice address
8 Amber CT
Prospect, CT 06712-1801
Phone
(860) 982-2831
Fax
(203) 574-4972
NPI assigned
Jun 13, 2019
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0005626 CT Primary

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

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

LicenseStateTypeSpecialty
PCT.0005626CTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1639739550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 AMBER CT",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121801",
            "telephone_number": "860-982-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 AMBER CT",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121801",
            "telephone_number": "860-982-2831",
            "fax_number": "203-574-4972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Bunker Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067081999",
            "country_code": "US",
            "telephone_number": "203-755-0788",
            "fax_number": "203-574-4972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUYNN",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0005626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.