Individual provider Active NPI

Stacy Yukie Tolentino, PHARMD

  • Pharmacist
  • Waipahu, HI
National Provider Identifier
1437425154
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH-3244 Issued in HI
Practice address
94-144 Farrington Hwy
Waipahu, HI 96797-1918
Phone
(808) 678-6831
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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-3244 HI Primary

Addresses

Primary practice location

94-144 Farrington Hwy
Waipahu, HI 96797-1918

Mailing address

94-144 Farrington Hwy
Waipahu, HI 96797-1918
Phone (808) 678-6831

Other practice location 1

4450 Kapolei Pkwy
#100
Kapolei, HI 96707-1889
Phone (808) 457-3680

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-3244HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Don Quijote (USA) Co., LTD. CurrentSince Mar 4, 2021 Accepting new patients
Don Quijote (USA) Co.,LTD PastSince Mar 4, 2021 Accepting new patients
Longs Drug Stores California LLC Past Accepting new patients
North Carolina CVS Pharmacy LLC Past Accepting new patients

Locations

94-144 Farrington Hwy
Waipahu, HI 96797
Phone (808) 368-6835

Organizations & group practices 4

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1437425154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-144 FARRINGTON HWY",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971918",
            "telephone_number": "808-678-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-144 FARRINGTON HWY",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971918",
            "telephone_number": "808-678-6831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 Kapolei Pkwy",
            "address_2": "#100",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967071889",
            "country_code": "US",
            "telephone_number": "808-457-3680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "STACY",
        "middle_name": "YUKIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-3244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.