Active NPI
Mark Brown, RPH, MBA
- Pharmacist
- Wailuku, HI
National Provider Identifier
1740720747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-1818
- Practice address
- 1900 Main St
Suite #3
Wailuku, HI 96793-1900 - Phone
- (808) 249-2113
- Fax
- (808) 249-8082
- NPI assigned
- Feb 24, 2017
- Last updated
- Feb 24, 2017
- Sex
- Male
- Sole proprietor
- No
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-1818 | HI | Primary |
Addresses
Primary practice location
1900 Main St
Suite #3
Wailuku, HI 96793-1900
Mailing address
1900 Main St
Suite #3
Wailuku, HI 96793-1900
Phone (808) 249-2113
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
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH-1818 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Corporation of America | Past | Accepting new patients | |
| Pharmacy Corporation of America | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1740720747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 MAIN ST",
"address_2": "SUITE #3",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931900",
"telephone_number": "808-249-2113",
"fax_number": "808-249-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 MAIN ST",
"address_2": "SUITE #3",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931900",
"telephone_number": "808-249-2113",
"fax_number": "808-249-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "RPH, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-24",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-1818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.