Active NPI
Ryan P Wilkin, PHARMD
- Pharmacist
- Lahaina, HI
National Provider Identifier
1831500024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-3431
- Practice address
- 3350 Lower Honoapiilani Rd
E105
Lahaina, HI 96761-8402 - Phone
- (808) 661-8008
- Fax
- (808) 661-8008
- NPI assigned
- May 11, 2014
- Last updated
- Sep 20, 2014
- 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-3431 | HI | Primary |
Addresses
Primary practice location
3350 Lower Honoapiilani Rd
E105
Lahaina, HI 96761-8402
Mailing address
3740 Lower Honoapiilani Rd
E105
Lahaina, HI 96761-8900
Phone (808) 269-5638
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH-3431 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Qsi Inc | Current | Accepting new patients |
Locations
3350 Lower Honoapiilani Rd
#E105
Lahaina, HI 96761
Phone (808) 661-8008
Interoperability endpoints
- ryan.wilkin@hawaiihie.medicity.net
Organizations & group practices 1
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": "1399766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411171200000",
"number": "1831500024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3740 LOWER HONOAPIILANI RD",
"address_2": "E105",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967618900",
"telephone_number": "808-269-5638",
"fax_number": "808-661-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 LOWER HONOAPIILANI RD",
"address_2": "E105",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967618402",
"telephone_number": "808-661-8008",
"fax_number": "808-661-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKIN",
"first_name": "RYAN",
"middle_name": "P",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-11",
"last_updated": "2014-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-3431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lahaina, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.