Organization Active NPI

Farmacia de Marianas

  • Pharmacy
  • Tamuning, GU
National Provider Identifier
1053523100
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PCY004 Issued in GU
Legal business name
FARMACIA DE MARIANAS
Practice address
543 Chalan Gumayuos
Tamuning, GU 96913
Phone
(671) 646-9696
Fax
(671) 649-6601
NPI assigned
May 3, 2007
Last updated
Jul 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Maria Luz Baluyot Guzman, REGISTERED PHARMACIS
Title
Owner Manager
Phone
(671) 646-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PCY004 GU Primary

Addresses

Primary practice location

543 Chalan Gumayuos
Tamuning, GU 96913

Mailing address

PO Box 8718
Tamuning, GU 96932
Phone (671) 646-9696

Other identifiers 1

IdentifierTypeStateIssuer
5410713OtherNCPDP NABP

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1053523100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8718",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96932",
            "telephone_number": "671-646-9696",
            "fax_number": "671-649-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 CHALAN GUMAYUOS",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-646-9696",
            "fax_number": "671-649-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA DE MARIANAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "MARIA LUZ",
        "authorized_official_middle_name": "BALUYOT",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "671-646-9696",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED PHARMACIS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GU",
            "license": "PCY004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NABP",
            "identifier": "5410713",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 6, 2009; 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.