Active NPI
Julianne Bagalso
- Pharmacist
- Honolulu, HI
National Provider Identifier
1366093890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-4106
- Practice address
- 1110 University Ave Ste 411
Honolulu, HI 96826-1508 - Phone
- (808) 942-7884
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- 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 | PH-4106 | HI | Primary |
Addresses
Primary practice location
1110 University Ave Ste 411
Honolulu, HI 96826-1508
Mailing address
1110 University Ave Ste 411
Honolulu, HI 96826-1508
Phone (808) 942-7884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000 | Other | 00000 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | INSYNC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH-4106 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1366093890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 UNIVERSITY AVE STE 411",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261508",
"telephone_number": "808-942-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 UNIVERSITY AVE STE 411",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261508",
"telephone_number": "808-942-7884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGALSO",
"first_name": "JULIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-4106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "00000",
"identifier": "00000000",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "INSYNC",
"affiliation": "N",
"address_1": "1110 University Ave Ste 411",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "968261508",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 25, 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.