NPIMap

Organization Active NPI

Vik Management, Inc.

Doing business as ITC Pharmacy II

  • Clinic Pharmacy
  • Tamuning, GU
National Provider Identifier
1336200930
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PCY015 Issued in GU
Legal business name
VIK MANAGEMENT, INC.
Doing business as
ITC Pharmacy II
Practice address
416 Chalan San Antonio
Tamuning, GU 96913-3601
Phone
(671) 649-1977
Fax
(671) 646-5338
NPI assigned
Dec 13, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Julius Santos Fernando, RPHNPI 1164595625
Title
Pharmacist
Phone
(671) 649-1977

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)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PCY015 GU Primary

Addresses

Primary practice location

416 Chalan San Antonio
Tamuning, GU 96913-3601

Mailing address

PO Box 11468
Tamuning, GU 96931-1468
Phone (671) 649-1977

Other identifiers 2

IdentifierTypeStateIssuer
5400089OtherGUNCPDP
PCY015OtherGUGUAM PHARMACY LICENSE

Other names 1

  • ITC Pharmacy II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Itc Pharmacy I2 organizations share this tax ID, including this one

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1336200930",
    "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": "671-649-1977",
            "fax_number": "671-646-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CHALAN SAN ANTONIO",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133601",
            "telephone_number": "671-649-1977",
            "fax_number": "671-646-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIK MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-18",
        "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": "671-649-1977",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "GU",
            "license": "PCY015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5400089",
            "state": "GU"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUAM PHARMACY LICENSE",
            "identifier": "PCY015",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ITC Pharmacy II",
            "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 18, 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.

Verify at the official NPI Registry.