NPIMap

Organization Active NPI

Mariano Prime Limited Liability

Doing business as Mega Drug

  • Community/Retail Pharmacy
  • Tamuning, GU
National Provider Identifier
1609912229
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PCY035 Issued in GU
Legal business name
MARIANO PRIME LIMITED LIABILITY
Doing business as
Mega Drug
Practice address
255 Farenholt Ave
Tamuning, GU 96913-3209
Phone
(671) 646-5355
Fax
(671) 646-5333
NPI assigned
Jan 30, 2007
Last updated
Sep 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Arthur MarianoNPI 1457673667
Title
Owner
Phone
(671) 646-0020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PCY035 GU Primary

Addresses

Primary practice location

255 Farenholt Ave
Tamuning, GU 96913-3209

Mailing address

255 Farenholt Ave
Tamuning, GU 96913-3209
Phone (671) 646-5355

Other identifiers 2

IdentifierTypeStateIssuer
2112123OtherPK
650MedicaidGU

Other names 1

  • MEGA DRUG Doing business as

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1609912229",
    "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": "671-646-5355",
            "fax_number": "671-646-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 FARENHOLT AVE",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133209",
            "telephone_number": "671-646-5355",
            "fax_number": "671-646-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANO PRIME LIMITED LIABILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-09-12",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GU",
            "license": "PCY035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112123",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEGA DRUG",
            "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 Sep 12, 2016; 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.