Active NPI
Niel Carlo Maniago Concepcion, PHARMD
- Pharmacist
- Dededo, GU
National Provider Identifier
1376383364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH0581
- Practice address
- 199 E Buena Vista Ave
Dededo, GU 96929-5373 - Phone
- (671) 637-9683
- Fax
- (671) 637-3408
- NPI assigned
- May 28, 2024
- Last updated
- May 28, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH0581 | GU | Primary |
Addresses
Primary practice location
199 E Buena Vista Ave
Dededo, GU 96929-5373
Mailing address
PO Box 23281
Barrigada, GU 96921-3281
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH0581 | GU | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1376383364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23281",
"city": "BARRIGADA",
"state": "GU",
"postal_code": "969213281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 E BUENA VISTA AVE",
"city": "DEDEDO",
"state": "GU",
"postal_code": "969295373",
"telephone_number": "671-637-9683",
"fax_number": "671-637-3408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCEPCION",
"first_name": "NIEL CARLO",
"middle_name": "MANIAGO",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GU",
"license": "PH0581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.