Nydia Milagros Gutierrez, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

019019 Issued in GA

Practice address

1605 Buford Hwy
Buford, GA 30518-3632

Phone

(770) 945-0507

Fax

(678) 482-9220

NPI assigned

Nov 17, 2011

Last updated

Nov 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1689941742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FOSTER TRACE DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436523",
            "telephone_number": "770-513-7427",
            "fax_number": "678-482-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 BUFORD HWY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183632",
            "telephone_number": "770-945-0507",
            "fax_number": "678-482-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "NYDIA",
        "middle_name": "MILAGROS",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "019019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LIC",
            "identifier": "019019",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarissa Diane Guerrero
• Deirdre Guest, LMHC, LPC
• Shameka Gullatt
• Alok Gupta, B.PHARM, RPH
• Preety Gupta, OTR/L
• Larisa Stacey Gutsu, PHARMD
• Gwinnett Clinic, LTD
• Gwinnett County Health Department (Buford Health Center)
• Oma Gyimah
• Nicole Noelle Habbe, MA, APC, MAC, NCC

• Pharmacist in Buford, GA
• Providers in Buford, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.