Active NPI
Nicole Biolos, PHARMD
- Pharmacist
- Ewa Beach, HI
National Provider Identifier
1154820363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3647
- Practice address
- 91-1401 Fort Weaver Rd
Ewa Beach, HI 96706-2253 - Phone
- (808) 685-5621
- Fax
- (808) 685-5566
- NPI assigned
- Feb 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 57568 | CA | |
| Pharmacist | 183500000X | 3647 | HI | Primary |
Addresses
Primary practice location
91-1401 Fort Weaver Rd
Ewa Beach, HI 96706-2253
Mailing address
91-1401 Fort Weaver Rd
Ewa Beach, HI 96706-2253
Phone (808) 685-5621
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
| License | State | Type | Specialty |
|---|---|---|---|
| 57568 | CA | MD | Dentist |
| 3647 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517616000000",
"number": "1154820363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1401 FORT WEAVER RD",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967062253",
"telephone_number": "808-685-5621",
"fax_number": "808-685-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-1401 FORT WEAVER RD",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967062253",
"telephone_number": "808-685-5621",
"fax_number": "808-685-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIOLOS",
"first_name": "NICOLE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-03",
"last_updated": "2018-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57568",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "3647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.