Jearld Peguese

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH-4854-0 Issued in HI

Practice address

1121 S Beretania St
Honolulu, HI 96814-1621

Phone

(808) 593-0403

NPI assigned

Nov 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Honolulu, HI
  • NPI 1215292438
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1790494201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111A PUIWA RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171171",
            "telephone_number": "808-721-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141621",
            "telephone_number": "808-593-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGUESE",
        "first_name": "JEARLD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-4854-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don D Pedro, PSYD
• Patrick Paul Pedro, M.D.
• Garry Peers, MD
• Lita Gosoco Peeters, PT
• Pegasus Realm LLC
• Alaia Sarania Peifer
• Jane J Pelkey, RN, MPHCDE
• Rebecca Allison Pell, NP
• Jonathan Buchanon Pellett, MD
• Crystal Pena

• Pharmacist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pharmacist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.