NPIMap

Organization Active NPI

Brabu Pharmacy and Wellness Center LLC

Doing business as Brabu Pharmacy Kagman

  • Community/Retail Pharmacy
  • Saipan, MP
National Provider Identifier
1962048397
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRABU PHARMACY AND WELLNESS CENTER LLC
Doing business as
Brabu Pharmacy Kagman
Practice address
Kagman III, RT 34
Kagman Commercial Center Suite 3
Saipan, MP 96950-8903
Phone
(670) 256-2668
Fax
(670) 233-2670
NPI assigned
Nov 20, 2019
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BRABU PHARMACY AND WELLNESS CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Theodore Robert Parker, R.PH., MPHNPI 1649417080
Title
Managing Partner/Co-Owner
Phone
(670) 233-2668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

Kagman III, RT 34
Kagman Commercial Center Suite 3
Saipan, MP 96950-8903

Mailing address

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

Other names 1

  • Brabu Pharmacy Kagman Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brabu Pharmacy and Wellness4 organizations share this tax ID, including this one
Part of
Brabu Pharmacy and Wellness

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1962048397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO 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": "KAGMAN III, RT 34",
            "address_2": "KAGMAN COMMERCIAL CENTER SUITE 3",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508903",
            "telephone_number": "670-256-2668",
            "fax_number": "670-233-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRABU PHARMACY AND WELLNESS CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRABU PHARMACY AND WELLNESS CENTER LLC",
        "enumeration_date": "2019-11-20",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING PARTNER/CO-OWNER",
        "authorized_official_telephone_number": "670-233-2668",
        "authorized_official_credential": "R.PH., MPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brabu Pharmacy Kagman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brabu Pharmacy Kagman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 23, 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.