Active NPI
Jenimari Nicole Murdock, PHARMD
- Pharmacist
- Kailua, HI
National Provider Identifier
1669768032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S016770
- 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, 2018
- Sex
- Female
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| S016770 | AZ | MD | Pharmacist |
| PH-2853 | HI | MD | Pharmacist |
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.