Mark Guimond, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0000037596 Issued in TN

Practice address

4729 N Roan St
Suite 2
Johnson City, TN 37615-3886

Phone

(423) 283-0911

NPI assigned

Jul 14, 2016

Last updated

Apr 7, 2023By the provider in NPPES

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

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boones Creek Pharmacy, Inc.

  dba Boones Creek Pharmacy

  • Community/Retail Pharmacy
  • Johnson City, TN
  • NPI 1073940334
  NPD
• Boones Creek Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Johnson City, TN
  • NPI 1770199432
  NPD

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1649623638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 N ROAN ST",
            "address_2": "SUITE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376153886",
            "telephone_number": "423-283-0911",
            "fax_number": "423-283-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 N ROAN ST",
            "address_2": "SUITE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376153886",
            "telephone_number": "423-283-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIMOND",
        "first_name": "MARK",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000037596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Grove
• Hannah Lee Grubb
• Bhuvana Guha, MD
• Brittany Guidry
• Elizabeth Field Guillemette, NUTRITIONIST
• Abbigale Blossom Gujer
• Kelly P Gunter, M.D.
• Chayadevie Guntupalli, PH.D., CCC-SLP
• Hannah Christine Gustafson, DO
• Sarah Gustafson, M.D.

• Pharmacist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.