Annalyn Mallari Tiu

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH0187 Issued in GU

Practice address

851 Gov Carlos Camacho Road
The Doctor's Clinic Building Perezville Pharmacy
Tamuning, GU 96931

Phone

(671) 648-2727

NPI assigned

Oct 26, 2017

Last updated

Oct 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1316459720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11864",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969311864",
            "telephone_number": "671-648-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 GOV CARLOS CAMACHO ROAD",
            "address_2": "THE DOCTOR'S CLINIC BUILDING PEREZVILLE PHARMACY",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96931",
            "telephone_number": "671-648-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIU",
        "first_name": "ANNALYN",
        "middle_name": "MALLARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GU",
            "license": "PH0187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Weingarten Institute for Neuroscience, Inc.
• Allison Thorp, FNP
• Jonathon M Thorp, M.D.
• Timothy P Brady DDS PC
• Jordan Michael Duenas Tingson, PT, DPT
• Todu Guam Foundation LTD
• Sandra Marie Toerge, M.D.S. , M/S.
• Louise McIntyre Toves, M.A., CSAC III, LPC
• Trespharm Inc (Oka Pharmacy)
• Tri Enterprises Inc (Healthcare Specialties)

• Pharmacist in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Pharmacist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.