Individual provider Active NPI

Douglas B Adriance Jr., PHARM.D.

  • Pharmacist
  • Hilo, HI
National Provider Identifier
1184736803
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH-2449 Issued in HI
Practice address
34 Rainbow Dr
University of Hawaii Hilo College of Pharmacy
Hilo, HI 96720
Phone
(808) 934-4086
Fax
(808) 969-7686
NPI assigned
Aug 31, 2006
Last updated
Dec 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5097051-1701 UT
Pharmacist 183500000X PH-2449 HI Primary

Addresses

Primary practice location

34 Rainbow Dr
University of Hawaii Hilo College of Pharmacy
Hilo, HI 96720

Mailing address

1115 Ainako Ave
Hilo, HI 96720-1505
Phone (808) 345-1533

Other names 1

  • Dr. Douglas B Adriance-Mejia Professional name

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-2449HIMDPharmacist
5097051-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1184736803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 AINAKO AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201505",
            "telephone_number": "808-345-1533",
            "fax_number": "808-969-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 RAINBOW DR",
            "address_2": "UNIVERSITY OF HAWAII HILO COLLEGE OF PHARMACY",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-934-4086",
            "fax_number": "808-969-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADRIANCE",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "5097051-1701",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-2449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "ADRIANCE-MEJIA",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "PHARM,D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.