JAKE ENTERPRISES INC NPI 1548397128

NPI Information

  • NPI: 1548397128
  • Provider Name: JAKE ENTERPRISES INC
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: COMMUNITY PHARMACY I
  • Address: 177 CHALAN PASAHERU STE C
    TAMUNING, GU
    ZIP 96913
  • Phone: (671) 646-6160

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NPI Details

JAKE ENTERPRISES INC is a clinic pharmacy pharmacy in Tamuning, GU. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. JAKE ENTERPRISES INC NPI is 1548397128. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Pharmacy I.

The provider's business location address is:

177 CHALAN PASAHERU STE C
TAMUNING, GU
ZIP 96913-161
Phone: (671) 646-6160
Fax: (671) 646-6159

The provider's authorized official is June Aggabao .
The authorized official title is Owner Pres And Managing Pharm and has the following contact phone number (671) 646-6160.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 1/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336C0002XPharmacyClinic PharmacyPCY039GUAMYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15411400OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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