NPI Code Detail JSON Logo

1831778745 NPI number — MAYRA GUZMAN-LOPEZ PHARMD

NPI Number: 1831778745
Health Care Provider/Practitioner: MAYRA GUZMAN-LOPEZ PHARMD

Information about “1831778745” NPI (MAYRA GUZMAN-LOPEZ PHARMD) exists in 1831778745 in HTML format HTML  |  1831778745 in plain Text format TXT  |  1831778745 in PDF (Portable Document Format) PDF  |  1831778745 in an XML format XML  formats.

NPI Number : 1831778745 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831778745",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUZMAN-LOPEZ",
    "FirstName": "MAYRA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GUZMAN",
    "OtherFirstName": "MAYRA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3031 W PACKING PLANT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILLCOX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85643-3041",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "201 S PRICKLY PEAR AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BENSON",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85602-6446",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-586-0754",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/07/2021",
    "LastUpdateDate": "04/07/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "S022776",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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