Individual provider Active NPI

Christopher Ngo Thai, PHARMD

  • Pharmacist
  • Mililani, HI
National Provider Identifier
1255988119
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4045 Issued in HI
Practice address
95-1249 Meheula Pkwy Ste D
Mililani, HI 96789-1779
Phone
(808) 625-5222
Fax
(808) 625-5950
NPI assigned
Aug 24, 2019
Last updated
Aug 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4045 HI Primary

Addresses

Primary practice location

95-1249 Meheula Pkwy Ste D
Mililani, HI 96789-1779

Mailing address

91-1044 Kai Loli St
Ewa Beach, HI 96706-6270
Phone (808) 557-9034

Other identifiers 2

IdentifierTypeStateIssuer
PH4045OtherHIHAWAII BOARD OF PHARMACY
PH4045MedicaidHI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cvshealth.com

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
4045HIMDPharmacist

Organizations & group practices 1

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": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1255988119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1044 KAI LOLI ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066270",
            "telephone_number": "808-557-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-1249 MEHEULA PKWY STE D",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891779",
            "telephone_number": "808-625-5222",
            "fax_number": "808-625-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "CHRISTOPHER",
        "middle_name": "NGO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "4045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII BOARD OF PHARMACY",
            "identifier": "PH4045",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH4045",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "CVS Health",
            "address_1": "95-1249 Meheula Pkwy Ste D",
            "city": "Mililani",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967891779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.