# JAKE ENTERPRISES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** COMMUNITY PHARMACY I
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548397128
- **Authorized official:** JUNE AGGABAO RPH (OWNER PRES AND MANAGING PHARM)
- **Authorized official phone:** (671) 646-6160

## Contact information

- **Practice address:** 177 CHALAN PASAHERU STE C, TAMUNING, GU 96913-4161
- **Practice address phone:** (671) 646-6160
- **Practice address fax:** (671) 646-6159
- **Mailing address:** 177 CHALAN PASAHERU STE C, TAMUNING, GU 96913-4161
- **Mailing address phone:** (671) 646-6160
- **Mailing address fax:** (671) 646-6159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | PCY039 | GU | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 01/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5411400 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |