Individual provider Active NPI

Marilyn Hocson Florendo, PHARMACIST

  • Pharmacist
  • Upper Tumon, GU
National Provider Identifier
1265929558
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH0124 Issued in GU
Practice address
Community Pharmacy
1244 North Marine Drive
Upper Tumon, GU 96913
Phone
(671) 646-6515
Fax
(671) 646-6516
NPI assigned
Apr 23, 2018
Last updated
Apr 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH0124 GU Primary

Addresses

Primary practice location

Community Pharmacy
1244 North Marine Drive
Upper Tumon, GU 96913

Mailing address

1244 North Marine Corps Drive
Upper Tumon, GU 96913
Phone (671) 646-6515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PH0124GUMDPharmacist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1265929558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 NORTH MARINE CORPS DRIVE",
            "city": "UPPER TUMON",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-646-6515",
            "fax_number": "671-646-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY PHARMACY",
            "address_2": "1244 NORTH MARINE DRIVE",
            "city": "UPPER TUMON",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-646-6515",
            "fax_number": "671-646-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENDO",
        "first_name": "MARILYN",
        "middle_name": "HOCSON",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GU",
            "license": "PH0124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Tumon, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.