PRIME CARE INC (NPI# 1386783629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386783629 |
| Entity Type | Organization |
| Organization Name | PRIME CARE INC |
| Other Organization Name | PEREZVILLE PHARMACY |
| Practice Address |
851 Governor Carlos Camacho Rd Tamuning GU 96913 |
| Mailing Address |
Po Box 11864 Tamuning GU 96913 |
| Practice Telephone | 6716499400 |
| Practice Fax Number | 6716491455 |
| Mailing Telephone | 6716499400 |
| Mailing Fax Number | 6716491455 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HUDDLESTON S ELIMO (PHARMACIST) |
| Authorized Official Telephone | 6716499400 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PCY048 | GU | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GU | NCPOP | 5400015 | 01 |
| Other Name | Type Code |
|---|---|
| Perezville Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | PRIME CARE INC. | 2008 Cloverdale Avenue, Winston Salem, NC 27103 |
| Street Address |
851 GOVERNOR CARLOS CAMACHO RD |
| City | TAMUNING |
| State | GU |
| Zip Code | 96913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126219 | Hannah Marie Sabo Laney | Behavior Technician | 212 Farenholt Ave., Tamuning, GU 96913 | 2020-02-13 |
| 1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
| 1205475753 | Gabriela Victoria Perez | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-01-02 |
| 1073154944 | Quenie-mei Tuliao Fisher | Pharmacist | 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 | 2019-10-02 |
| 1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
| 1467000299 | Yun Ming Lin | Pharmacist | 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 | 2019-08-26 |
| 1902465354 | Anthony John Litwinchuk Jr. | Audiologist | Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 | 2019-06-10 |
| 1124580600 | Khkn Corporation | Acupuncturist | 817 N Marine Corps Dr 109, Tamuning, GU 96913 | 2019-04-03 |
| 1700346541 | Amc Mental Health, LLC | Marriage & Family Therapist | 263 Vietnam Veterans Highway, Mangilao, GU 96913 | 2019-03-20 |
| 1295292365 | Jhaymie Lynn Salarzon Bejerana | Behavior Technician | Building 1350 #216, Upper Tumon, GU 96913 | 2019-02-26 |
| Find all providers in zip 96913 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942575790 | St Joseph Pharmacy Inc | Pharmacy | 415 Chalan San Antonio Ste 101, Tamuning, GU 96913-3620 | 2012-03-13 |
| 1053523100 | Farmacia De Marianas | Pharmacy | 543 Chalan Gumayuos, Tamuning, GU 96913 | 2007-05-03 |
| 1023152071 | Cruz Pharmacy | Pharmacy | 224 Farenholt Ave, Tamuning, GU 96913-3208 | 2007-02-15 |
| 1609912229 | Mariano Prime Limited Liability | Pharmacy | 255 Farenholt Ave, Tamuning, GU 96913-3209 | 2007-01-30 |
| 1285746107 | Payless Markets Inc | Pharmacy | 285 Farenholt Ave Ste C04, Tamuning, GU 96913-3223 | 2006-08-31 |
| 1154310878 | Meggs Corporation | Pharmacy | 646 S Marine Dr, Tamuning, GU 96913-3503 | 2005-10-15 |
| 1427194042 | Trespharm Inc | Pharmacy | 241 Farenholt Ave, Ste 101, Tamuning, GU 96913-3203 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306304837 | Superdrug-yigo | Pharmacy | 525 Chalan Ramon Haya, Yigo, GU 96929 | 2019-03-04 |
| 1033595699 | Ran-care Inc | Pharmacy | 263 Vietnam Veteran's Highway, Mangilao, GU 96913 | 2015-08-06 |
| 1255680914 | Mariano Prime Limited Liability | Pharmacy | 2042 Army Dr, Dededo, GU 96929-6516 | 2012-09-10 |
| 1811222748 | Ran-care, Inc. | Pharmacy | 136 Kayen Chando, Dededo, GU 96929 | 2009-10-09 |
| 1568583169 | Ran-care Inc | Pharmacy | 875 N Rt 2 Ste A-106, Agat Point Commercial Center, Agat, GU 96928 | 2007-04-02 |
| 1760555395 | Gnn Corporation | Pharmacy | 2226 Army Dr, Ste A, Dededo, GU 96929-6577 | 2006-11-15 |
| 1467564385 | Payless Markets Inc | Pharmacy | 214 W Marine Corps Dr, Rte 1, Dededo, GU 96929-5913 | 2006-08-31 |
| 1619919040 | Payless Markets Inc | Pharmacy | 302 S Route 4, Ste 118, Agana Shopping Ctr, Chalan Pago, GU 96910 | 2006-06-11 |
| 1972076792 | Evergreen Pharmacy & Supplies LLC | Pharmacy | 520 Route 8, Maite, GU 96910 | 2019-01-03 |
| 1144638123 | Wil-mar Corporation | Pharmacy | 736 Route 4, Sinajana, GU 96910-3368 | 2014-07-23 |
| Find all providers with the same taxonomy | ||||
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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.