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Active NPI 1639854748 Organization (Entity Type 2)

Element 1b

Pharmacy • Tamuning, GU

About Element 1b NPI 1639854748 Summary

Element 1B is a verified healthcare organization specializing in Pharmacy operating in Tamuning, GU. Located at 543 GUMA YUOS STREET, this facility provides patient care and medical services under National Provider Identifier (NPI) 1639854748.

Administrative operations and authorized compliance are overseen by Jazzedypaul Campos (Owner).

Facility Location & Contact Primary Location

Facility Address

543 Guma Yuos Street

Tamuning, GU 96913

Telephone 6718644357

Authorized Official Information

Authorized Contact Name

Jazzedypaul Campos

Title / Role

Owner

Official Telephone

6718644357

Facility Classifications & Specialties

Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 333600000X

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.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active June 16, 2023

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2023

Registered at 543 GUMA YUOS STREET, TAMUNING, GU 96913 (Tel: 6718644357)

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Updated Business Mailing Address June 16, 2023

Registered at 543 GUMA YUOS STREET, TAMUNING, GU 96913 (Tel: 6718644357)

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Organization / Clinic Name Updated June 16, 2023

Operating as ELEMENT 1B

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2023

Pharmacy

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Initial NPI Registration & Enumeration June 16, 2023

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1639854748
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 16, 2023
Last Update: July 19, 2023

Mailing Address

543 Guma Yuos Street

Tamuning, GU 96913

Phone: 6718644357

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.