Active NPI
Vik Management, Inc.
Doing business as ITC Pharmacy I
- Clinic Pharmacy
- Tamuning, GU
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- PCY-014
- Legal business name
- VIK MANAGEMENT, INC.
- Doing business as
- ITC Pharmacy I
- Practice address
- 590 S Marine Dr Ste 126
Tamuning, GU 96913-3531 - Phone
- (671) 646-6395
- Fax
- (671) 646-4332
- NPI assigned
- Dec 6, 2006
- Last updated
- Jun 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julius Santos Fernando, RPH
- Title
- Pharmacist
- Phone
- (671) 646-6395
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | PCY-014 | GU | Primary |
Addresses
Primary practice location
590 S Marine Dr Ste 126
Tamuning, GU 96913-3531
Mailing address
PO Box 11468
Tamuning, GU 96931-1468
Phone (671) 646-6395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 671 | Medicaid | GU |
Other names 1
- ITC Pharmacy I
National Provider Directory
National Provider Directory- Tax ID family
- Itc Pharmacy I
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Tamuning, GU
- NPI 1164595625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1053470955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11468",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969311468",
"telephone_number": "671-646-6395",
"fax_number": "671-646-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 S MARINE DR STE 126",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133531",
"telephone_number": "671-646-6395",
"fax_number": "671-646-4332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIK MANAGEMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "FERNANDO",
"authorized_official_first_name": "JULIUS",
"authorized_official_middle_name": "SANTOS",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "671-646-6395",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "GU",
"license": "PCY-014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "671",
"state": "GU"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ITC Pharmacy I",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.