Active NPI
Terry Walsh
- Pharmacist
- Kapa'a, HI
National Provider Identifier
1225736762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH2725
- Practice address
- 645 Aleka Loop
Kapaa, HI 96746-1459 - Phone
- (808) 822-4918
- NPI assigned
- Feb 22, 2023
- Last updated
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH2725 | HI | Primary |
Addresses
Primary practice location
645 Aleka Loop
Kapaa, HI 96746-1459
Mailing address
645 Aleka Loop
Kapaa, HI 96746-1459
Phone (808) 822-4918
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | na |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH2725 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California ,L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1225736762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 ALEKA LOOP",
"city": "KAPAA",
"state": "HI",
"postal_code": "967461459",
"telephone_number": "808-822-4918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 ALEKA LOOP",
"city": "KAPAA",
"state": "HI",
"postal_code": "967461459",
"telephone_number": "808-822-4918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "TERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH2725",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "na",
"affiliation": "N",
"address_1": "645 Aleka Loop",
"city": "Kapaa",
"state": "HI",
"country_code": "US",
"postal_code": "967461459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kapa'a, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.