Robin James Dalmacio, PHARMD
Individual provider Active NPI Pharmacist · Dededo, GU
NPI 1043901440 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1043901440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH0477 (GU)
- Practice address
- 655 Harmon Loop Rd Ste 108
Dededo, GU 96929-6544 - Phone
- (671) 633-3684
- NPI assigned
- May 17, 2023
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH0477 | GU | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH0477 | GU | Yes |
Addresses
Primary practice location
655 Harmon Loop Rd Ste 108
Dededo, GU 96929-6544
Mailing address
PO Box 9644
Tamuning, GU 96931-5644
Phone (671) 683-9279
Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2023. 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.