Individual provider Active NPI

Theodore Robert Parker, R.PH., MPH

  • Pharmacist
  • Saipan, MP
National Provider Identifier
1649417080
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0007 Issued in MP
Practice address
101 Akari Building Gualo Rai
Chalen Pale Arnold Road
Saipan, MP 96950-8903
Phone
(670) 233-2668
Fax
(670) 233-2670
NPI assigned
Jan 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0007 MP Primary
Pharmacist 183500000X PH00019323 WA

Addresses

Primary practice location

101 Akari Building Gualo Rai
Chalen Pale Arnold Road
Saipan, MP 96950-8903

Mailing address

PMB 761 Box 10003
Saipan, MP 96950-8903
Phone (670) 233-2668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0007MPMDPharmacist
PH00019323WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1649417080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 761 BOX 10003",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508903",
            "telephone_number": "670-233-2668",
            "fax_number": "670-233-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AKARI BUILDING GUALO RAI",
            "address_2": "CHALEN PALE ARNOLD ROAD",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508903",
            "telephone_number": "670-233-2668",
            "fax_number": "670-233-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "THEODORE",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "R.PH., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MP",
            "license": "0007",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00019323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.