Individual provider Active NPI

Erika Chiemi Iversen Ruiz, BS PHARM

  • Pharmacist
  • Mililani, HI
National Provider Identifier
1285265884
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2076 Issued in HI
Practice address
94-780 Meheula Pkwy Ste a
Mililani, HI 96789-2199
Phone
(808) 623-6636
NPI assigned
Feb 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2076 HI Primary

Addresses

Primary practice location

94-780 Meheula Pkwy Ste a
Mililani, HI 96789-2199

Mailing address

94-780 Meheula Pkwy Ste a
Mililani, HI 96789-2199
Phone (808) 623-6636

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
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
2076HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Longs Drug Store California LLC PastSince Feb 9, 2020 Accepting new patients
Longs Drug Stores California, Inc. PastSince Feb 9, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580515200000",
    "number": "1285265884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-780 MEHEULA PKWY STE A",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892199",
            "telephone_number": "808-623-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-780 MEHEULA PKWY STE A",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892199",
            "telephone_number": "808-623-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ERIKA",
        "middle_name": "CHIEMI IVERSEN",
        "credential": "BS PHARM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-01",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "2076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 1, 2020; 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.