Active NPI
Michael Sylva
- Pharmacist
- Kailua Kona, HI
National Provider Identifier
1134420458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00064349
- Practice address
- 75-5751 Kuakini Hwy Ste 104
Kailua Kona, HI 96740-1705 - Phone
- (808) 326-5629
- NPI assigned
- Nov 3, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00064349 | WA | Primary |
Addresses
Primary practice location
75-5751 Kuakini Hwy Ste 104
Kailua Kona, HI 96740-1705
Mailing address
75-682 Lalii PL
Kailua Kona, HI 96740-6909
Phone (206) 387-8224
Other practice location 1
8340 15th Ave NW
Seattle, WA 98117-3603
Phone (206) 782-7480
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00064349 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1134420458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-682 LALII PL",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967406909",
"telephone_number": "206-387-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5751 KUAKINI HWY STE 104",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401705",
"telephone_number": "808-326-5629"
}
],
"practiceLocations": [
{
"address_1": "8340 15th Ave NW",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981173603",
"country_code": "US",
"telephone_number": "206-782-7480",
"fax_number": "206-782-7842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYLVA",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-03",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00064349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.