Active NPI
Fernando Guzman
- Pharmacist
- Spokane, WA
National Provider Identifier
1710465976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60841556
- Practice address
- 4001 N Cook St
Spokane, WA 99207-5879 - Phone
- (509) 483-3427
- Fax
- (509) 482-4040
- NPI assigned
- Jul 31, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60841556 | WA | Primary |
Addresses
Primary practice location
4001 N Cook St
Spokane, WA 99207-5879
Mailing address
4001 N Cook St
Spokane, WA 99207-5879
Phone (509) 483-3427
Other practice location 1
3811 Santa Anna Loop
Pasco, WA 99301-8406
Phone (509) 302-1702
Other practice location 2
9412 N Dawn Ct
Spokane, WA 99208-4475
Phone (509) 302-1702
Other practice location 3
1616 W Northwest Blvd
Spokane, WA 99205-4275
Phone (509) 327-5010
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60841556 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1710465976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 N COOK ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992075879",
"telephone_number": "509-483-3427",
"fax_number": "509-482-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 N COOK ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992075879",
"telephone_number": "509-483-3427",
"fax_number": "509-482-4040"
}
],
"practiceLocations": [
{
"address_1": "3811 Santa Anna Loop",
"address_purpose": "LOCATION",
"city": "Pasco",
"state": "WA",
"postal_code": "993018406",
"country_code": "US",
"telephone_number": "509-302-1702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9412 N Dawn Ct",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992084475",
"country_code": "US",
"telephone_number": "509-302-1702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1616 W Northwest Blvd",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992054275",
"country_code": "US",
"telephone_number": "509-327-5010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUZMAN",
"first_name": "FERNANDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-31",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60841556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.