Active NPI
Theodore Robert Parker, R.PH., MPH
- Pharmacist
- Saipan, MP
National Provider Identifier
1649417080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0007
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0007 | MP | MD | Pharmacist |
| PH00019323 | WA | MD | Pharmacist |
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.