Active NPI
Loren Lee Wilson, RPH
- Pharmacist
- Honolulu, HI
National Provider Identifier
1487792693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-618
- Practice address
- 1010 Pensacola St
Honolulu, HI 96814-2118 - Phone
- (808) 432-2065
- NPI assigned
- Feb 1, 2007
- 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-618 | HI | Primary |
Addresses
Primary practice location
1010 Pensacola St
Honolulu, HI 96814-2118
Mailing address
1287 Ulupalakua St
Kailua, HI 96734-4349
Phone (808) 262-3987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH-618 | Other | HI | PHARMACIST LICENSE NUMBER |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH-618 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487792693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1287 ULUPALAKUA ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344349",
"telephone_number": "808-262-3987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 PENSACOLA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142118",
"telephone_number": "808-432-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LOREN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "PH-618",
"state": "HI"
}
],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.