Active NPI
Tilden-Christen Michael Miguel, RPH, PHARMD
- Pharmacist
- Hilo, HI
National Provider Identifier
1386983153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-3429
- Practice address
- 111 E Puainako St.
Hilo, HI 96720 - Phone
- (808) 959-4508
- NPI assigned
- Feb 13, 2013
- Reactivated
- Sep 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
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-3429 | HI | Primary |
Addresses
Primary practice location
111 E Puainako St.
Hilo, HI 96720
Mailing address
PO Box 262
Volcano, HI 96785-0262
Phone (808) 221-9780
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH-3429 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1386983153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 262",
"city": "VOLCANO",
"state": "HI",
"postal_code": "967850262",
"telephone_number": "808-221-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E PUAINAKO ST.",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-959-4508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGUEL",
"first_name": "TILDEN-CHRISTEN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "RPH, PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-13",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"deactivation_date": "2018-01-09",
"reactivation_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-3429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.