Individual provider Active NPI

Andrea Guianen, PHARMD

  • Pharmacist
  • Erie, PA
National Provider Identifier
1659902278
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP454199 Issued in PA
Practice address
1709 Liberty St
Erie, PA 16502-1650
Phone
(814) 452-2596
NPI assigned
Feb 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP454199 PA Primary

Addresses

Primary practice location

1709 Liberty St
Erie, PA 16502-1650

Mailing address

3810 Gay Rd
Erie, PA 16510-3139

Other practice location 1

5430 Peach St
Erie, PA 16509-2602
Phone (814) 868-4624

Other practice location 2

1338 E Grandview Blvd
Erie, PA 16504-2736
Phone (814) 825-0625

Other names 1

  • Andrea Oliver Former name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP454199PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrift Drug Inc PastSince Feb 1, 2020 Accepting new patients
Thrift Drug Inc PastSince Feb 1, 2020 Accepting new patients
Rite Aid of Pennsylvania LLC PastSince Aug 29, 2021 Accepting new patients
Rite Aid of Pennsylvania LLC PastSince Aug 29, 2021 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1659902278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 GAY RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165103139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 LIBERTY ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021650",
            "telephone_number": "814-452-2596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5430 Peach St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165092602",
            "country_code": "US",
            "telephone_number": "814-868-4624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1338 E Grandview Blvd",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165042736",
            "country_code": "US",
            "telephone_number": "814-825-0625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIANEN",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-02",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP454199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "OLIVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.