Prime Care Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PCY048 Issued in GU

Legal business name

PRIME CARE INC

Doing business as

Perezville Pharmacy

Practice address

851 Governor Carlos Camacho Rd
Tamuning, GU 96913

Phone

(671) 649-9400

Fax

(671) 649-1455

NPI assigned

Feb 5, 2007

Last updated

Jun 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Chargualaf

Title

Business Admin

Phone

(671) 632-6001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Perezville Pharmacy Doing business as

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1386783629",
    "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": "96913",
            "telephone_number": "671-649-9400",
            "fax_number": "671-649-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 GOVERNOR CARLOS CAMACHO RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-649-9400",
            "fax_number": "671-649-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "CHARGUALAF",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BUSINESS ADMIN",
        "authorized_official_telephone_number": "671-632-6001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GU",
            "license": "PCY048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPOP",
            "identifier": "5400015",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perezville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rovilmina Pickop, REGISTERED NURSE
• Rory Platt, M.D. A.P.C.
• Peter John Pommerville, BA, MD, FRCSC
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• Danica Grace Laborte Pua, RPH
• Celeste Ulanday Punzalan-Almira, RN
• Bannuar Emmanuel Tomboc Quiaoit, FNP
• Sylvia T Quinata, MA, IMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.