Active NPI
Michael Land
- Pharmacist
- Kailua, HI
National Provider Identifier
1629600291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-4999
- Practice address
- 609 Kailua Rd
Kailua, HI 96734-2839 - Phone
- (808) 261-9794
- NPI assigned
- Feb 11, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH4999 | HI | |
| Pharmacist | 183500000X | PH-4999 | HI | Primary |
Addresses
Primary practice location
609 Kailua Rd
Kailua, HI 96734-2839
Mailing address
55-285 Kamehameha Hwy
Laie, HI 96762-1191
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 |
|---|---|---|---|
| PH-4999 | HI | MD | Pharmacist |
| PH4999 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1629600291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55-285 KAMEHAMEHA HWY",
"city": "LAIE",
"state": "HI",
"postal_code": "967621191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 KAILUA RD",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342839",
"telephone_number": "808-261-9794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAND",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-11",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH4999",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-4999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.