Active NPI
Paul C Guley, RPH
- Geriatric Pharmacist
- Endicott, NY
National Provider Identifier
1922322825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 030816
- Practice address
- 1201 Watson Blvd.
Endicott, NY 13760-2835 - Phone
- (607) 785-6432
- NPI assigned
- Mar 22, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 030816 | NY | Primary |
Addresses
Primary practice location
1201 Watson Blvd.
Endicott, NY 13760-2835
Mailing address
1201 Watson Blvd
Endicott, NY 13760-2835
Phone (607) 785-6432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030816 | Other | NY | PHARMACY STATE LICENCE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 030816 | NY | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1922322825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 WATSON BLVD",
"city": "ENDICOTT",
"state": "NY",
"postal_code": "137602835",
"telephone_number": "607-785-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 WATSON BLVD.",
"city": "ENDICOTT",
"state": "NY",
"postal_code": "137602835",
"telephone_number": "607-785-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULEY",
"first_name": "PAUL",
"middle_name": "C",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-22",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NY",
"license": "030816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY STATE LICENCE NUMBER",
"identifier": "030816",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Endicott, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.