Active NPI
Marla Frances Guastella, RPH BS
- Pharmacist
- Independence, OH
National Provider Identifier
1891078325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03327045
- Practice address
- 6900 Rockside Rd
Independence, OH 44131-2324 - Phone
- (216) 525-0732
- Fax
- (216) 525-0736
- NPI assigned
- Sep 21, 2011
- Last updated
- Sep 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03327045 | OH | Primary |
| Pharmacist | 183500000X | 26015758A | IN |
Addresses
Primary practice location
6900 Rockside Rd
Independence, OH 44131-2324
Mailing address
6900 Rockside Rd
Independence, OH 44131-2324
Phone (216) 525-0732
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
- Bachelor of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26015758A | IN | MD | Pharmacist |
| 03327045 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1891078325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 ROCKSIDE RD",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312324",
"telephone_number": "216-525-0732",
"fax_number": "216-525-0736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 ROCKSIDE RD",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312324",
"telephone_number": "216-525-0732",
"fax_number": "216-525-0736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUASTELLA",
"first_name": "MARLA",
"middle_name": "FRANCES",
"name_prefix": "Mrs.",
"credential": "RPH BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03327045",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26015758A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.