Individual provider Active NPI

Christine Tchomdom Guemdjo, RPH

  • Pharmacist
  • El Paso, TX
National Provider Identifier
1710387535
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
52304 Issued in TX
Practice address
5401 Montana Ave
El Paso, TX 79903-4909
Phone
(915) 779-8825
Fax
(915) 799-5267
NPI assigned
Aug 28, 2014
Last updated
Aug 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52304 TX Primary

Addresses

Primary practice location

5401 Montana Ave
El Paso, TX 79903-4909

Mailing address

5401 Montana Ave
El Paso, TX 79903-4909
Phone (915) 779-8825

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
52304TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1710387535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034909",
            "telephone_number": "915-779-8825",
            "fax_number": "915-799-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034909",
            "telephone_number": "915-779-8825",
            "fax_number": "915-799-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEMDJO",
        "first_name": "CHRISTINE",
        "middle_name": "TCHOMDOM",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.