Individual provider Active NPI

Paige Kurosawa, PHARMD

  • Pharmacist
  • Laie, HI
National Provider Identifier
1508109075
Registry record updated Mar 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3455 Issued in HI
Practice address
55-510 Kamehameha Hwy
Laie, HI 96762-1138
Phone
(808) 293-9919
Fax
(808) 293-9926
NPI assigned
Apr 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3455 HI Primary

Addresses

Primary practice location

55-510 Kamehameha Hwy
Laie, HI 96762-1138

Mailing address

55-510 Kamehameha Hwy
Laie, HI 96762-1138
Phone (808) 293-9919

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
3455HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Foodland Supermarket LTD Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: paige.kurosawa@hawaiihie.medicity.net

Organizations & group practices 1

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393632000000",
    "number": "1508109075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55-510 KAMEHAMEHA HWY",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621138",
            "telephone_number": "808-293-9919",
            "fax_number": "808-293-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-510 KAMEHAMEHA HWY",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621138",
            "telephone_number": "808-293-9919",
            "fax_number": "808-293-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUROSAWA",
        "first_name": "PAIGE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2014-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "3455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laie, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2014; 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.