Jennifer Gozum, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH0331 Issued in GU

Practice address

751 Route 8 Chalan Machaute
Maite, GU 96910

Phone

(671) 477-3627

Fax

(671) 477-5589

NPI assigned

Aug 6, 2019

Last updated

Oct 25, 2022By the provider in NPPES

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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1013562057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 ROUTE 8 CHALAN MACHAUTE",
            "city": "MAITE",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-477-3627",
            "fax_number": "671-477-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ROUTE 8 CHALAN MACHAUTE",
            "city": "MAITE",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-477-3627",
            "fax_number": "671-477-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZUM",
        "first_name": "JENNIFER",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GU",
            "license": "PH0331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdagana@paylessmarkets.com",
            "affiliation": "N",
            "address_1": "751 Route 8 Chalan Machaute",
            "city": "Maite",
            "state": "GU",
            "country_code": "US",
            "postal_code": "96910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Maite, GU
• Providers in Maite, GU by specialty
• Pharmacist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.