Kevin Craig Glick, R.PH.

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

PH797 Issued in HI

Practice address

4491A Kolopa St
Lihue, HI 96766-2034

Phone

(808) 246-9100

NPI assigned

May 14, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Hawaii Home Infusion Associates, LTD.

  • Home Infusion Therapy Pharmacy
  • Lihue, HI
  • NPI 1649256785
  NPD (past) Authorized official
• Lihue Pharmacy Inc

  dba Lihue Pharmacy

  • Pharmacy
  • Lihue, HI
  • NPI 1821074972
  NPD (past) Authorized official
• Total Home Care, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Honolulu, HI
  • NPI 1194701243
  NPD (past) Authorized official

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1104316215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4491A KOLOPA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662034",
            "telephone_number": "808-246-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4491A KOLOPA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662034",
            "telephone_number": "808-246-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "KEVIN",
        "middle_name": "CRAIG",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "HI",
            "license": "PH797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald J McKenna M.D. Inc Dba McKenna Recovery Center
• Dianne M Gerard, PHD
• Tina German
• Collin Patrick Gibbons
• Linda Joice Gillespie, APRN,BC
• Sabrina Goldsman
• Todd Kenneth Gordon
• Richard Andre Gosselin, M.D.
• Vishal Goyal, M.D.
• Grace and Joy Therapy, LLC

• Ambulatory Care Pharmacist in Lihue, HI
• Providers in Lihue, HI by specialty
• Ambulatory Care Pharmacist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.