Individual provider Active NPI

Robin D Longgat, PHARM.D.

  • Pharmacist
  • Kapolei, HI
National Provider Identifier
1295060754
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH-1998 Issued in HI
Practice address
4589 Kapolei Pkwy
Kapolei, HI 96707-1879
Phone
(808) 674-3909
Fax
(808) 674-3906
NPI assigned
Oct 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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-1998 HI Primary

Addresses

Primary practice location

4589 Kapolei Pkwy
Kapolei, HI 96707-1879

Mailing address

4589 Kapolei Pkwy
Kapolei, HI 96707-1879
Phone (808) 674-3909

Other identifiers 1

IdentifierTypeStateIssuer
PH-1998OtherHIPHARMACIST

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
PH-1998HIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1295060754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4589 KAPOLEI PKWY",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071879",
            "telephone_number": "808-674-3909",
            "fax_number": "808-674-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4589 KAPOLEI PKWY",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071879",
            "telephone_number": "808-674-3909",
            "fax_number": "808-674-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGGAT",
        "first_name": "ROBIN",
        "middle_name": "D",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-1998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "PH-1998",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.