Mary Jean R Cabildo, PHARMACIST
Individual provider Active NPI Pharmacist · Tamuning, GU
NPI 1558873265 · NPPES record last updated Aug 9, 2020
Key facts
- NPI
- 1558873265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH0150 (GU)
- Practice address
- 851 Gov Carlos Camacho Rd
Tamuning, GU 96913 - Phone
- (671) 649-9400
- Fax
- (671) 649-1455
- NPI assigned
- Nov 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH0150 | GU | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BJR | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH0150 | GU | Yes |
Addresses
Primary practice location
851 Gov Carlos Camacho Rd
Tamuning, GU 96913
Mailing address
PO Box 8116
Tamuning, GU 96931-8116
Phone (671) 971-1655
Other practice location 1
126 B West Liguan
Macheche
Dededo, GU 96929
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.