Individual provider Active NPI

Emmanuel Salvador Melchor

  • Pharmacist
  • Kapa'a, HI
National Provider Identifier
1235788241
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH-2006 Issued in HI
Practice address
4-484 Kuhio Hwy Ste 106
Kapaa, HI 96746
Phone
(808) 245-2471
NPI assigned
Sep 11, 2019
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH-2006 HI Primary

Addresses

Primary practice location

4-484 Kuhio Hwy Ste 106
Kapaa, HI 96746

Mailing address

PO Box 1738
Koloa, HI 96756-1738
Phone (808) 634-9313

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

LicenseStateTypeSpecialty
PH-2006HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Iaomai 2 LLC CurrentSince Mar 20, 2025 Accepting new patients
Longs Drug Stores California LLC PastSince Sep 1, 2019 Accepting new patients
Longs Drug Store California LLC PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 3

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1235788241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1738",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967561738",
            "telephone_number": "808-634-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-484 KUHIO HWY STE 106",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "96746",
            "telephone_number": "808-245-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHOR",
        "first_name": "EMMANUEL",
        "middle_name": "SALVADOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-2006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 10, 2025; 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.