Marieli Buitrago Gonzalez, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

049220974 Issued in IL

Practice address

726 Elm St
Ardmore, OK 73401-1332

Phone

(404) 449-8267

NPI assigned

Oct 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1932871175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 ELM ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011332",
            "telephone_number": "404-449-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 ELM ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011332",
            "telephone_number": "404-449-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUITRAGO GONZALEZ",
        "first_name": "MARIELI",
        "name_prefix": "Mrs.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "IL",
            "license": "049220974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m_lopezbui@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "726 Elm St",
            "city": "Ardmore",
            "state": "OK",
            "country_code": "US",
            "postal_code": "734011332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Shea Buchanan
• Misty D Buckaloo
• Makayla Buenting
• Nancy Ray Bugbee, COTA/L
• Sean Allen Bugbee, PTA
• Ronald Alan Bulard, DDS
• Kimbra Buntin
• Kisha Burkhalter
• Lillie Burkhart
• Lauren Burks

• Pharmacy Technician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Pharmacy Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.