Richard L Guettler, RPH., CDM, MTM
Individual provider Active NPI Pharmacist · Adams, MA
NPI 1992865539 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992865539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19166 (MA)
- Practice address
- 21 Columbia St
Adams, MA 01220-1315 - Phone
- (413) 743-4659
- Fax
- (413) 743-2608
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19166 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19166 | MA | Yes |
Addresses
Primary practice location
21 Columbia St
Adams, MA 01220-1315
Mailing address
53 Alger St
Adams, MA 01220-9714
Phone (413) 743-5616
Other providers in Adams, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.