Individual provider Active NPI

Corey Sayuri Kauai Kelsom, PHARMD

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1083218978
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
77324 Issued in CA
Practice address
6213 Spirit St Apt 585
Pittsburgh, PA 15206-5119
Phone
(808) 271-8616
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 77324 CA Primary

Addresses

Primary practice location

6213 Spirit St Apt 585
Pittsburgh, PA 15206-5119

Mailing address

6213 Spirit St Apt 585
Pittsburgh, PA 15206-5119
Phone (808) 271-8616

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
77324CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1083218978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 SPIRIT ST APT 585",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152065119",
            "telephone_number": "808-271-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 SPIRIT ST APT 585",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152065119",
            "telephone_number": "808-271-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSOM",
        "first_name": "COREY",
        "middle_name": "SAYURI KAUAI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "77324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.