Active NPI
Mildred Maniago Gabriel, RPH
- Pharmacist
- Tamuning, GU
National Provider Identifier
1972708022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH013
- Practice address
- 646 South Marine Drive
Guam Rexall Drugs
Tamuning, GU 96913 - Phone
- (671) 646-4827
- Fax
- (671) 649-0051
- NPI assigned
- Jun 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | PH013 | GU | Primary |
| Pharmacist | 183500000X | 37818 | CA |
Addresses
Primary practice location
646 South Marine Drive
Guam Rexall Drugs
Tamuning, GU 96913
Mailing address
PO Box 9520
Tamuning, GU 96931
Phone (671) 649-2892
Other names 1
- Mildred Gabriel Arceo
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 |
|---|---|---|---|
| 37818 | CA | MD | Periodontist |
| PH013 | GU | MD | Pharmacist |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacist
- Tamuning, GU
- NPI 1013366780
-
- Pharmacy Technician
- Tamuning, GU
- NPI 1568811230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972708022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9520",
"city": "TAMUNING",
"state": "GU",
"postal_code": "96931",
"telephone_number": "671-649-2892",
"fax_number": "671-647-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 SOUTH MARINE DRIVE",
"address_2": "GUAM REXALL DRUGS",
"city": "TAMUNING",
"state": "GU",
"postal_code": "96913",
"telephone_number": "671-646-4827",
"fax_number": "671-649-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "MILDRED",
"middle_name": "MANIAGO",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GU",
"license": "PH013",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "37818",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MILDRED",
"last_name": "ARCEO",
"middle_name": "GABRIEL",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.