Individual provider Active NPI

Baldomero Jerusalem Sagrado Jr., PHARMD

  • Pharmacist
  • Agana Heights, GU
National Provider Identifier
1295715944
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51290986 Issued in IL
Practice address
Building K-1
Farenholt Street
Agana Heights, GU 96919
Phone
(671) 344-9354
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 51290986 IL Primary

Addresses

Primary practice location

Building K-1
Farenholt Street
Agana Heights, GU 96919

Mailing address

3520 W Ainslie St
Chicago, IL 60625-5632
Phone (671) 646-7205

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
51290986ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295715944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 W AINSLIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255632",
            "telephone_number": "671-646-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING K-1",
            "address_2": "FARENHOLT STREET",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "96919",
            "telephone_number": "671-344-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGRADO",
        "first_name": "BALDOMERO",
        "middle_name": "JERUSALEM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "51290986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agana Heights, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.