Michelle Therese Aguigui Sannicolas, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH092 Issued in GU

Practice address

#162 As Apman Drive
Inarajan Community Health Center
Inarajan, GU 96929

Phone

(671) 828-7501

Fax

(671) 828-7504

NPI assigned

Jun 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle San Nicolas Deloso Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487856332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ATIS CT",
            "city": "SANTA RITA",
            "state": "GU",
            "postal_code": "969151512",
            "telephone_number": "671-565-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#162 AS APMAN DRIVE",
            "address_2": "INARAJAN COMMUNITY HEALTH CENTER",
            "city": "INARAJAN",
            "state": "GU",
            "postal_code": "96929",
            "telephone_number": "671-828-7501",
            "fax_number": "671-828-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNICOLAS",
        "first_name": "MICHELLE",
        "middle_name": "THERESE AGUIGUI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GU",
            "license": "PH092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DELOSO",
            "middle_name": "SAN NICOLAS",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Department of Public Health and Social Services
• Government of Guam Department of Administration (Southern Region Community Health Center Pharmacy (SRCHC))
• Government of Guam Department of Administration (Southern Region Community Health Center)
• William Weare, M.D.

• Pharmacist in Inarajan, GU
• Providers in Inarajan, GU by specialty
• Pharmacist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.