Mariano Prime Limited Liability

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY040 Issued in GU

Legal business name

MARIANO PRIME LIMITED LIABILITY

Practice address

330 W Marine Corps Dr
Dededo, GU 96929-5924

Phone

(671) 632-3385

Fax

(671) 623-3528

NPI assigned

Jan 30, 2007

Organization subpart

No

Name

Arthur Mariano

Title

Owner

Phone

(671) 646-0020

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geraldine D.a. Mariano, RPH

  • Pharmacist
  • Dededo, GU
  • NPI 1235879909
  NPD (past)

Tax ID family

Mariano Prime Limited Liability6 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.

• Mariano Prime Limited Liability

  • Community/Retail Pharmacy
  • Dededo, GU
  • NPI 1255680914
  NPD tax ID
• Mariano Prime Limited Liability

  • Community/Retail Pharmacy
  • Tamuning, GU
  • NPI 1609912229
  NPD tax ID
• Mariano Prime LLC

  • Clinic Pharmacy
  • Tamuning, GU
  • NPI 1285283382
  NPD tax ID
• Mariano Prime LLC

  • Clinic Pharmacy
  • Tamuning, GU
  • NPI 1407407737
  NPD tax ID
• Mariano Prime LLC

  • Durable Medical Equipment & Medical Supplies
  • Tamuning, GU
  • NPI 1780959676
  NPD tax ID

• MEGA DRUG II Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2017.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1518003136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 FARENHOLT AVE",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133209",
            "telephone_number": "671-632-3385",
            "fax_number": "671-623-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W MARINE CORPS DR",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969295924",
            "telephone_number": "671-632-3385",
            "fax_number": "671-623-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANO PRIME LIMITED LIABILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "MARIANO",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "671-646-0020"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GU",
            "license": "PCY040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112124",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "655",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEGA DRUG II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lean Carlo Mendoza Losinio, CNM
• Lilia Lynch
• Ben Malabanan Jr., D.D.S.
• Edison Pineda Manaloto, M.D.
• Mariano Prime Limited Liability
• Geraldine D.a. Mariano, RPH
• Maria Chela Arana Mariano, MD
• Cheryl Ong Marimla
• Thora C. Mark, NP-C
• April Karen Valdez Marquez, DO, MPH

• All providers in Dededo, GU
• Community/Retail Pharmacy in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.