Individual provider Active NPI

Liang Rasachack, PHARM.D.

  • Pharmacist
  • Honolulu, HI
National Provider Identifier
1104109297
Registry record updated Sep 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH-1881 Issued in HI
Practice address
1922 Kalakaua Ave
Honolulu, HI 96815-1854
Phone
(808) 942-1922
Fax
(808) 380-8333
NPI assigned
Sep 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH-1881 HI Primary

Addresses

Primary practice location

1922 Kalakaua Ave
Honolulu, HI 96815-1854

Mailing address

1922 Kalakaua Ave
Honolulu, HI 96815-1854
Phone (808) 942-1922

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
PH-1881HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Outrigger Shops, LTD. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316822400000",
    "number": "1104109297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 KALAKAUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151854",
            "telephone_number": "808-942-1922",
            "fax_number": "808-380-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 KALAKAUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151854",
            "telephone_number": "808-942-1922",
            "fax_number": "808-380-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASACHACK",
        "first_name": "LIANG",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-24",
        "last_updated": "2011-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-1881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; 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.