Individual provider Active NPI

Jenimari Nicole Murdock, PHARMD

  • Pharmacist
  • Kailua, HI
National Provider Identifier
1669768032
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S016770 Issued in AZ
Practice address
345 Hahani St
Kailua, HI 96734-2838
Phone
(808) 489-9320
Fax
(808) 489-9330
NPI assigned
Jun 23, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH-2853 HI
Pharmacist 183500000X S016770 AZ Primary

Addresses

Primary practice location

345 Hahani St
Kailua, HI 96734-2838

Mailing address

345 Hahani St
Kailua, HI 96734-2838
Phone (808) 489-9320

Other practice location 1

4380 Lawehana St
T-2410
Honolulu, HI 96818-3137
Phone (808) 441-3119

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
S016770AZMDPharmacist
PH-2853HIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669768032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 HAHANI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342838",
            "telephone_number": "808-489-9320",
            "fax_number": "808-489-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 HAHANI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342838",
            "telephone_number": "808-489-9320",
            "fax_number": "808-489-9330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4380 Lawehana St",
            "address_2": "T-2410",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968183137",
            "country_code": "US",
            "telephone_number": "808-441-3119",
            "fax_number": "808-441-3119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "JENIMARI",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-2853",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016770",
            "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 Mar 17, 2018; 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.