Individual provider Active NPI

Kristianne Shelby Nishek, PHARMD

  • Pharmacist
  • Hanapepe, HI
National Provider Identifier
1699265371
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3880 Issued in HI
Practice address
3735 Uwao Street
Hanapepe, HI 96716
Phone
(808) 635-0546
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3880 HI Primary

Addresses

Primary practice location

3735 Uwao Street
Hanapepe, HI 96716

Mailing address

PO Box 1040
Hanapepe, HI 96716-1040
Phone (808) 635-0546

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
3880HIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1699265371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1040",
            "city": "HANAPEPE",
            "state": "HI",
            "postal_code": "967161040",
            "telephone_number": "808-635-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 UWAO STREET",
            "city": "HANAPEPE",
            "state": "HI",
            "postal_code": "96716",
            "telephone_number": "808-635-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHEK",
        "first_name": "KRISTIANNE",
        "middle_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "3880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanapepe, HI

Sources for this page

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