Active NPI
Joshua Logan Wiegand, PHARM.D.
- Pharmacist
- Kealakekua, HI
National Provider Identifier
1174994271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3817
- Practice address
- 79-1019 Haukapila St
Kealakekua, HI 96750-7920 - Phone
- (808) 322-4470
- NPI assigned
- Oct 14, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 72265 | CA | |
| Pharmacist | 183500000X | 3817 | HI | Primary |
Addresses
Primary practice location
79-1019 Haukapila St
Kealakekua, HI 96750-7920
Mailing address
PO Box 2361
Kealakekua, HI 96750-2361
Phone (808) 319-0165
Other practice location 1
83-5335 Middle Keei Rd
Captain Cook, HI 96704-8312
Phone (808) 319-0165
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 |
|---|---|---|---|
| 3817 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1174994271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2361",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967502361",
"telephone_number": "808-319-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79-1019 HAUKAPILA ST",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967507920",
"telephone_number": "808-322-4470"
}
],
"practiceLocations": [
{
"address_1": "83-5335 Middle Keei Rd",
"address_purpose": "LOCATION",
"city": "Captain Cook",
"state": "HI",
"postal_code": "967048312",
"country_code": "US",
"telephone_number": "808-319-0165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIEGAND",
"first_name": "JOSHUA",
"middle_name": "LOGAN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-14",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72265",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "3817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kealakekua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.