Individual provider Active NPI

Lenora Lee Ibia, BS OF PHARMACY

  • Pharmacist
  • Lihue, HI
National Provider Identifier
1730454562
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH1427 Issued in HI
Practice address
4300 Nuhou St
Lihue, HI 96766-8002
Phone
(808) 241-4009
Fax
(808) 241-4006
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH1427 HI Primary

Addresses

Primary practice location

4300 Nuhou St
Lihue, HI 96766-8002

Mailing address

4300 Nuhou St
Lihue, HI 96766-8002
Phone (808) 241-4009

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
PH1427HIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1730454562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 NUHOU ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967668002",
            "telephone_number": "808-241-4009",
            "fax_number": "808-241-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 NUHOU ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967668002",
            "telephone_number": "808-241-4009",
            "fax_number": "808-241-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBIA",
        "first_name": "LENORA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "BS OF PHARMACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH1427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.