Individual provider Active NPI

Maria Guerra Netterville, RPH

  • Pharmacist
  • Memphis, TN
National Provider Identifier
1992088603
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10752 Issued in TN
Practice address
6310 Highway 72
Walgreens
Memphis, TN 38119-1551
Phone
(901) 680-1907
NPI assigned
Sep 20, 2011
Last updated
Sep 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10752 TN Primary
Pharmacist 183500000X 16572 LA

Addresses

Primary practice location

6310 Highway 72
Walgreens
Memphis, TN 38119-1551

Mailing address

6310 Highway 72
Walgreens
Memphis, TN 38119-1551
Phone (901) 680-1907

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

LicenseStateTypeSpecialty
16572LAMDPharmacist
10752TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1992088603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 HIGHWAY 72",
            "address_2": "WALGREENS",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381191551",
            "telephone_number": "901-680-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 HIGHWAY 72",
            "address_2": "WALGREENS",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381191551",
            "telephone_number": "901-680-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTERVILLE",
        "first_name": "MARIA",
        "middle_name": "GUERRA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "10752",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.