Active NPI
Ken Vandenbussche
- Pharmacist
- Lihue, HI
National Provider Identifier
1396010237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH1745
- Practice address
- 4300 Nuhou St
Lihue, HI 96766-8002 - Phone
- (808) 241-4009
- Fax
- (808) 241-4006
- NPI assigned
- Mar 10, 2012
- Sex
- Male
- 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 | PH1745 | HI | Primary |
Addresses
Primary practice location
4300 Nuhou St
Lihue, HI 96766-8002
Mailing address
PO Box 37
Kekaha, HI 96752-0037
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 |
|---|---|---|---|
| PH1745 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331337600000",
"number": "1396010237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37",
"city": "KEKAHA",
"state": "HI",
"postal_code": "967520037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 NUHOU ST",
"city": "LIHUE",
"state": "HI",
"postal_code": "967668002",
"telephone_number": "808-241-4009",
"fax_number": "808-241-4006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDENBUSSCHE",
"first_name": "KEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-10",
"last_updated": "2012-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH1745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.