COMMUNITY PHARMACY I – NPI #1548397128
Pharmacy
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
COMMUNITY PHARMACY I is a pharmacy located in TAMUNING, GU. NPPES has assigned the NPI number 1548397128 to COMMUNITY PHARMACY I on February 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMMUNITY PHARMACY I” is a dba name, the actual legal business name for this organization is JAKE ENTERPRISES INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy
The NPI profile was previously updated about 14 years ago on Jan 05, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY PHARMACY I below.
NPI Profile for
JAKE ENTERPRISES INC
(more than 19 years ago)
TAMUNING, GU 96913-4161 Phone: (671) 646-6160 Fax: (671) 646-6159
OWNER PRES AND MANAGING PHARM
Phone: (671) 646-6160
Identifiers for COMMUNITY PHARMACY I
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | NCPDP PROVIDER IDENTIFICATION NUMBER | 5411400 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 3336C0002X - Pharmacy / Clinic Pharmacy (Primary) |
GU | PCY039 |
| 3336C0003X - Pharmacy / Community/Retail Pharmacy |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.