NPIMap

Organization Active NPI

Takecare Insurance Company, Inc.

Doing business as FHP Health Center

  • Pharmacist
  • Tamuning, GU
National Provider Identifier
1396801775
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCY005 Issued in GU
Legal business name
TAKECARE INSURANCE COMPANY, INC.
Doing business as
FHP Health Center
Practice address
548 South Marine Corps Drive
Tamuning, GU 96913
Phone
(671) 646-5824
Fax
(671) 647-3546
NPI assigned
Dec 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Donald H. Fetherman
Title
Exec VP Cfo
Phone
(671) 646-6956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCY005 GU Primary

Addresses

Primary practice location

548 South Marine Corps Drive
Tamuning, GU 96913

Mailing address

PO Box 6578
Tamuning, GU 96931-6578
Phone (671) 646-6956

Other identifiers 1

IdentifierTypeStateIssuer
5428948OtherGUNCPDP #

Other names 1

  • FHP Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Takecare Insurance Company6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396801775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6578",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969316578",
            "telephone_number": "671-646-6956",
            "fax_number": "671-647-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 SOUTH MARINE CORPS DRIVE",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-646-5824",
            "fax_number": "671-647-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKECARE INSURANCE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FETHERMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXEC VP CFO",
        "authorized_official_telephone_number": "671-646-6956",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GU",
            "license": "PCY005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "5428948",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHP Health Center",
            "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 Aug 22, 2020; 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.