Individual provider Active NPI

Susan A. Guerrero Gray, SUSAN GUERRERO GRAY

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1851681407
Registry record updated Apr 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.038947 Issued in IL
Practice address
1926 W 35TH St
Chicago, IL 60609-1204
Phone
(773) 254-5523
Fax
(773) 254-9537
NPI assigned
Apr 17, 2011
Last updated
Apr 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 051.038947 IL Primary

Addresses

Primary practice location

1926 W 35TH St
Chicago, IL 60609-1204

Mailing address

1926 W 35TH St
Chicago, IL 60609-1204
Phone (773) 254-5523

Other identifiers 1

IdentifierTypeStateIssuer
051.038947OtherILDEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

Other names 1

  • Susan Gray Professional name

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
051.038947ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1302998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302998400000",
    "number": "1851681407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 W 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091204",
            "telephone_number": "773-254-5523",
            "fax_number": "773-254-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 W 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091204",
            "telephone_number": "773-254-5523",
            "fax_number": "773-254-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO GRAY",
        "first_name": "SUSAN",
        "middle_name": "A.",
        "credential": "SUSAN GUERRERO GRAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-17",
        "last_updated": "2011-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.038947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "051.038947",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GRAY",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.