St Joseph Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY057 Issued in GU

Legal business name

ST JOSEPH PHARMACY INC

Practice address

415 Chalan San Antonio Ste 101
Tamuning, GU 96913-3620

Phone

(671) 648-1128

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Uyen Pham

Title

Operations Manager

Phone

(671) 648-1128

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St. Joseph Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1942575790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CHALAN SAN ANTONIO # 168",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133602",
            "telephone_number": "671-727-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CHALAN SAN ANTONIO STE 101",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133620",
            "telephone_number": "671-648-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "UYEN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "671-648-1128"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GU",
            "license": "PCY057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Jermaine Smith III, MD
• Christine A Solis, PHARMD
• Eric William Spak, MD
• Spectrum Consulting Group
• Sports, Orthopedics & Active Rehabilitation, Inc.
• William Edgar Stanley II, PA-C
• Stephanie Steele
• Gemma B. Sto Nino, FNP
• Jeannette F Storey, O.D.
• Walter Edward Stratton, PA-C

• Community/Retail Pharmacy in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Community/Retail Pharmacy in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.