Active NPI
Stuart Abalos
- Pharmacist
- Kaneohe, HI
National Provider Identifier
1730853276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-1779
- Practice address
- 45-480 Kaneohe Bay Dr
Kaneohe, HI 96744-2039 - Phone
- (808) 235-5805
- NPI assigned
- Aug 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH-1779 | HI | Primary |
Addresses
Primary practice location
45-480 Kaneohe Bay Dr
Kaneohe, HI 96744-2039
Mailing address
45-480 Kaneohe Bay Dr
Kaneohe, HI 96744-2039
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-1779 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628294400000",
"number": "1730853276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45-480 KANEOHE BAY DR",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967442039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-480 KANEOHE BAY DR",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967442039",
"telephone_number": "808-235-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABALOS",
"first_name": "STUART",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-07",
"last_updated": "2021-08-07",
"certification_date": "2021-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-1779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.