Active NPI
Alfredo Hector Cruz Jr., RPH
- Pharmacist
- Honolulu, HI
National Provider Identifier
1235414285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH1517
- Practice address
- 1 Waterfront PLZ
500 Ala Moana Blvd BLDG 1 Ste 1a
Honolulu, HI 96813-4920 - Phone
- (808) 254-2727
- Fax
- (808) 254-4445
- NPI assigned
- Oct 20, 2011
- Last updated
- Oct 20, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH1517 | HI | Primary |
Addresses
Primary practice location
1 Waterfront PLZ
500 Ala Moana Blvd BLDG 1 Ste 1a
Honolulu, HI 96813-4920
Mailing address
One Waterfront Plaza
500 Ala Moana Blvd BLDG 1 Ste 1a
Honolulu, HI 96813-4920
Phone (808) 254-2727
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH1517 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Pharmacy, L.L.C. | Past | Accepting new patients | |
| Procare Pharmacy, LLC. | 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": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1235414285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE WATERFRONT PLAZA",
"address_2": "500 ALA MOANA BLVD BLDG 1 STE 1A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134920",
"telephone_number": "808-254-2727",
"fax_number": "808-254-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WATERFRONT PLZ",
"address_2": "500 ALA MOANA BLVD BLDG 1 STE 1A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134920",
"telephone_number": "808-254-2727",
"fax_number": "808-254-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "ALFREDO",
"middle_name": "HECTOR",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH1517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.