PACIFIC HEALTHCARE PHARMACY LLC (NPI# 1396888327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396888327 |
| Entity Type | Organization |
| Organization Name | PACIFIC HEALTHCARE PHARMACY LLC |
| Other Organization Name | PACIFIC HEALTHCARE PHARMACY INC |
| Practice Address |
1757 Guam Business Center Building, Route 16 Suite 108 Harmon GU 96929 |
| Practice Telephone | 6716496831 |
| Practice Fax Number | 6716496832 |
| Mailing Telephone | 6716496831 |
| Mailing Fax Number | 6716496832 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DORIS MARQUEZ QUERIMIT (OWNER) |
| Authorized Official Telephone | 6716496831 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PCY025 | GU | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GU | NCPDP NUMBER | 5410826 | 01 |
| Other Name | Type Code |
|---|---|
| Pacific Healthcare Pharmacy Inc | Former Legal Business Name - Organization |
| Street Address |
1757 GUAM BUSINESS CENTER BUILDING, ROUTE 16 SUITE 108 |
| City | HARMON |
| State | GU |
| Zip Code | 96929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288134 | Benjamin Huyck | Military Health Care Provider | 22061 Carolines Ave, Andersen Afb, GU 96929 | 2019-07-30 |
| 1235782244 | Daniel Shimanski | Military Health Care Provider | 36th Mdos, Bld 26012, Carolines Ave, Andersen Afb, GUAM 96929 | 2019-07-18 |
| 1306304837 | Superdrug-yigo | Pharmacy | 525 Chalan Ramon Haya, Yigo, GU 96929 | 2019-03-04 |
| 1194214668 | Doris Marquez Querimit | Pharmacist | 600 Harmon Loop Road, Ste. 100, Dededo, GU 96929 | 2018-05-09 |
| 1487167995 | Stephanie Taijeron | Nurse Practitioner | 655 Harmon Luke Road, Suite 300, Bededo, GU 96929 | 2017-11-07 |
| 1821542119 | Rachael Marie Sells | Dentist | 36 Mdg Unit 14010, Building 26001, Apo, AP 96929 | 2016-08-04 |
| 1669832846 | Christopher Medina | Optometrist | Concourse 4 Micronesia Mall, Ideal Optical, Dededo, GU 96929 | 2016-03-01 |
| 1730557760 | Everlino Aben Ramos | Physician Assistant | 26012 Carolines Avenue, Andersen Afb, Yigo, GU 96929 | 2015-09-08 |
| 1679976039 | Tracy Repancal Sunga | Dentist | 505 Harmon Loop Rd. Suite 300, Dededo, GU 96929 | 2014-09-30 |
| 1902215239 | Christina M. Rapadas | Dentist | 505 Harmon Loop Rd., Suite 300, Dededo, GU 96929 | 2014-08-12 |
| Find all providers in zip 96929 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841338506 | Jake Enterprises Inc | Pharmacy | 612 W Marine Corps Dr, Ste 8 Calvo's Bldg, Dededo, GU 96929-5629 | 2007-02-02 |
| 1184796690 | Government of Guam Department of Administration | Pharmacy | 162 As Abman Dr, Inarajan, GU 96917 | 2006-11-14 |
| 1548397128 | Jake Enterprises Inc | Pharmacy | 177 Chalan Pasaheru Ste C, Tamuning, GU 96913-4161 | 2007-02-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.