Active NPI
Michelle Guadalupe Fuentes, CPHT
- Pharmacy Technician
- Colorado Springs, CO
National Provider Identifier
1710567276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PHAT0000195
- Practice address
- 6730 Lonewood Dr
Colorado Springs, CO 80925-9548 - Phone
- (719) 964-9514
- NPI assigned
- Apr 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PHAT0000195 | CO | Primary |
Addresses
Primary practice location
6730 Lonewood Dr
Colorado Springs, CO 80925-9548
Mailing address
6730 Lonewood Dr
Colorado Springs, CO 80925-9548
Phone (719) 964-9514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHAT.0000195 | Other | CO | COLORADO STATE BOARD OF PHARMACY |
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 |
|---|---|---|---|
| PHAT0000195 | CO | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1710567276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6730 LONEWOOD DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809259548",
"telephone_number": "719-964-9514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6730 LONEWOOD DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809259548",
"telephone_number": "719-964-9514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "MICHELLE",
"middle_name": "GUADALUPE",
"name_prefix": "Miss",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-09",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CO",
"license": "PHAT0000195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO STATE BOARD OF PHARMACY",
"identifier": "PHAT.0000195",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.