Grace Marie Gutierrez

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PTN.0022351 Issued in CT

Practice address

1060 E Main St
Bridgeport, CT 06608-1915

Phone

(203) 382-0009

NPI assigned

Oct 12, 2021

Sex

Female

Sole proprietor

No

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1972265460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066081915",
            "telephone_number": "203-382-0009",
            "fax_number": "203-332-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066081915",
            "telephone_number": "203-382-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "GRACE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CT",
            "license": "PTN.0022351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ggutierrez00@yahoo.com",
            "affiliation": "Y",
            "affiliationName": "RITE AID OF CONNECTICUT INC",
            "address_1": "1060 EAST MAIN STREET",
            "city": "BRIDGEPORT",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066081915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Archana Gupta, DDS
• Nizi Gupta
• Shruti Gupta, MD
• Tessa Guralnick, DPT
• Bruce C Gussin, P.A.
• Arlene Gutman, MB BCH BAO
• Ana Gabriela Guzman, LPCA
• Breisy Guzman, D.D.S.
• Denisse Guzman
• Felipe Guzman, MD

• Pharmacy Technician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Pharmacy Technician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.