Kiley Ann Corbett

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH-3654 Issued in HI

Practice address

590 Farrington Hwy Unit 300
Kapolei, HI 96707-2002

Phone

(808) 674-0269

Fax

(808) 674-0955

NPI assigned

May 12, 2020

Last updated

May 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kiley Ann Coleman Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1174145163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY UNIT 300",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072002",
            "telephone_number": "808-674-0269",
            "fax_number": "808-674-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY UNIT 300",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072002",
            "telephone_number": "808-674-0269",
            "fax_number": "808-674-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "KILEY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-3654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rx09317@cvshealth.com",
            "affiliation": "N",
            "address_1": "590 Farrington Hwy Unit 300",
            "city": "Kapolei",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967072002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KILEY",
            "last_name": "COLEMAN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Pharmacist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.