Individual provider Active NPI

Michael Scott Gutridge, PHARMD

  • Pharmacist
  • Cuyahoga Falls, OH
National Provider Identifier
1831485887
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03325673 Issued in OH
Practice address
447 Howe Ave
Cuyahoga Falls, OH 44221-4943
Phone
(330) 916-9059
Fax
(330) 928-3708
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03325673 OH Primary

Addresses

Primary practice location

447 Howe Ave
Cuyahoga Falls, OH 44221-4943

Mailing address

447 Howe Ave
Cuyahoga Falls, OH 44221-4943
Phone (330) 916-9059

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03325673OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1831485887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 HOWE AVE",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442214943",
            "telephone_number": "330-916-9059",
            "fax_number": "330-928-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 HOWE AVE",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442214943",
            "telephone_number": "330-916-9059",
            "fax_number": "330-928-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTRIDGE",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03325673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

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