Individual provider Active NPI

Julia Jeffery, PHARMD

  • Pharmacist
  • Kahului, HI
National Provider Identifier
1154970911
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH-3977 Issued in HI
Practice address
70 E Kaahumanu Ave
Kahului, HI 96732-2176
Phone
(808) 877-0068
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH-3977 HI
Pharmacist 183500000X PH-3977 HI Primary

Addresses

Primary practice location

70 E Kaahumanu Ave
Kahului, HI 96732-2176

Mailing address

91A Hui Rd F
Lahaina, HI 96761-9137

Other practice location 1

275 W Kaahumanu Ave Ste 1C01A
Kahului, HI 96732-1629
Phone (808) 871-6268

Other practice location 2

1221 Honoapiilani Hwy
Lahaina, HI 96761-1796
Phone (808) 667-4390

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL None Other

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-3977HIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1154970911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91A HUI RD F",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967619137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E KAAHUMANU AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322176",
            "telephone_number": "808-877-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 W Kaahumanu Ave Ste 1C01A",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967321629",
            "country_code": "US",
            "telephone_number": "808-871-6268",
            "fax_number": "808-873-0754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Honoapiilani Hwy",
            "address_purpose": "LOCATION",
            "city": "Lahaina",
            "state": "HI",
            "postal_code": "967611796",
            "country_code": "US",
            "telephone_number": "808-667-4390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PH-3977",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-3977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "None",
            "affiliation": "N",
            "endpointDescription": "None",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "70 E Kaahumanu Ave",
            "city": "Kahului",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967322176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.