Active NPI
Robert Scott Corson, RPH
- Pharmacist
- Wailuku, HI
National Provider Identifier
1508917626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-1135
- Practice address
- 55 Mauilani Pkwy
Wailuku, HI 96793-2416 - Phone
- (808) 243-6565
- Fax
- (808) 243-6568
- NPI assigned
- Jan 15, 2007
- 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 | PH-1135 | HI | Primary |
Addresses
Primary practice location
55 Mauilani Pkwy
Wailuku, HI 96793-2416
Mailing address
415 Dairy Rd Ste E-143
Kahului, HI 96732-2312
Phone (808) 264-0172
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-1135 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508917626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 DAIRY RD STE E-143",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322312",
"telephone_number": "808-264-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MAUILANI PKWY",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932416",
"telephone_number": "808-243-6565",
"fax_number": "808-243-6568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSON",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-1135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, 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.