Jizan Evangelista Benavente, PHARMD

Individual provider Active NPI Pharmacotherapy Pharmacist · Hagatna, GU

NPI 1700722808 · NPPES record last updated Apr 28, 2026

Key facts

NPI
1700722808
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
PH0195 (GU)
Practice address
PO Box 3830
Hagatna, GU 96932-3830
Phone
(671) 645-5500
NPI assigned
Apr 28, 2026
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH0195GUMDPharmacotherapy Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X PH0195 GU Yes

Addresses

Primary practice location

PO Box 3830
Hagatna, GU 96932-3830

Mailing address

PO Box 27587
Barrigada, GU 96921-6951

Other providers in Hagatna, GU

All providers in Hagatna, GU · Pharmacotherapy Pharmacist in Guam

Sources for this page

Verify at the official NPI Registry.