Individual provider Active NPI

Stanley Walter Gutowski Jr., RPH.

  • Pharmacist
  • Perry Point, MD
National Provider Identifier
1851498190
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
07299 Issued in MD
Practice address
Vamc Perry Point
BLDG 361- Pharmacy
Perry Point, MD 21902-1045
Phone
(410) 642-1089
Fax
(410) 642-1122
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 07299 MD Primary

Addresses

Primary practice location

Vamc Perry Point
BLDG 361- Pharmacy
Perry Point, MD 21902-1045

Mailing address

309 Roundhouse Dr
Perryville, MD 21903-3040
Phone (443) 206-1099

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
07299MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851498190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ROUNDHOUSE DR",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "219033040",
            "telephone_number": "443-206-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VAMC PERRY POINT",
            "address_2": "BLDG 361- PHARMACY",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219021045",
            "telephone_number": "410-642-1089",
            "fax_number": "410-642-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTOWSKI",
        "first_name": "STANLEY",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "07299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Point, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.