Medpharm

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDPHARM

Practice address

138 Kayen Chando Lot 5
Dededo, GU 96929-5900

Phone

(671) 632-6000

Fax

(671) 632-9000

NPI assigned

Aug 4, 2021

Organization subpart

Yes

Parent organization

MEDPHARMAs reported in NPPES

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

Authorized official

Name

Mrs. Tania Ramos

Title

Business Development Officer

Phone

(671) 632-6000

Specialties & licenses 1

Addresses

Other names 1

• PRO-CARE HOME-HEALTH SUPPLIES Doing business as

Part of

Medpharm

Locations

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1376217331",
    "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": "671-632-6000",
            "fax_number": "671-632-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 KAYEN CHANDO LOT 5",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969295900",
            "telephone_number": "671-632-6000",
            "fax_number": "671-632-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPHARM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDPHARM",
        "enumeration_date": "2021-08-04",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "671-632-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO-CARE HOME-HEALTH SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRO-CARE HOME-HEALTH SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thora C. Mark, NP-C
• April Karen Valdez Marquez, DO, MPH
• Craig Matthews, RN
• Joseph Andrew McAllister, RPH
• Christopher Medina, O.D.
• Frankie Torres Mendiola, M.D.
• Joseph John Baza Mendiola
• Gregory John Miller, D.C.
• Daniel H Moges, M.D.
• Andrew T. Mueller, CRNA

• All providers in Dededo, GU
• Durable Medical Equipment & Medical Supplies in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.