Individual provider Active NPI

Fernando Guzman

  • Pharmacist
  • Spokane, WA
National Provider Identifier
1710465976
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60841556 Issued in WA
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

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PH60841556WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.