Active NPI
Richard Jaeger, RPH
- Pharmacist
- Kahului, HI
National Provider Identifier
1033522768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-3106
- Practice address
- 170 E Kamehameha Ave
Kahului, HI 96732-2434 - Phone
- (808) 893-0606
- NPI assigned
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH-3106 | HI | Primary |
| Pharmacist | 183500000X | 0202007186 | VA |
Addresses
Primary practice location
170 E Kamehameha Ave
Kahului, HI 96732-2434
Mailing address
170 E Kamehameha Ave
Kahului, HI 96732-2434
Phone (808) 893-0606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH-3106 | HI | MD | Pharmacist |
| 0202007186 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1033522768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 E KAMEHAMEHA AVE",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322434",
"telephone_number": "808-893-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 E KAMEHAMEHA AVE",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322434",
"telephone_number": "808-893-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAEGER",
"first_name": "RICHARD",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-3106",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202007186",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.