Active NPI
Joen Redd N Legislador
- Pharmacist
- Tamuning, GU
National Provider Identifier
1770125148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH0311
- Practice address
- 353 Chalan San Antonio Ste 100
Tamuning, GU 96913-3300 - Phone
- (671) 649-1977
- Fax
- (671) 646-5338
- NPI assigned
- Oct 17, 2019
- Last updated
- Mar 5, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH0311 | GU | Primary |
Addresses
Primary practice location
353 Chalan San Antonio Ste 100
Tamuning, GU 96913-3300
Mailing address
353 Chalan San Antonio
Photo Town Plaza Suite 100
Tamuning, GU 96913-3392
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH0311 | GU | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1770125148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 CHALAN SAN ANTONIO",
"address_2": "PHOTO TOWN PLAZA SUITE 100",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 CHALAN SAN ANTONIO STE 100",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133300",
"telephone_number": "671-649-1977",
"fax_number": "671-646-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGISLADOR",
"first_name": "JOEN REDD",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-17",
"last_updated": "2025-03-05",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GU",
"license": "PH0311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.