Individual provider Active NPI

Melinda Ann Lacour, RPH.0

  • Pharmacist
  • Makawao, HI
National Provider Identifier
1851596944
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1666 Issued in HI
Practice address
55 Pukalani St
Makawao, HI 96768-8544
Phone
(808) 572-8266
Fax
(808) 572-0144
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1666 HI Primary

Addresses

Primary practice location

55 Pukalani St
Makawao, HI 96768-8544

Mailing address

PO Box 880710
Pukalani, HI 96788-0710
Phone (808) 572-8399

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

LicenseStateTypeSpecialty
1666HIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851596944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880710",
            "city": "PUKALANI",
            "state": "HI",
            "postal_code": "967880710",
            "telephone_number": "808-572-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PUKALANI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688544",
            "telephone_number": "808-572-8266",
            "fax_number": "808-572-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOUR",
        "first_name": "MELINDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RPH.0",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "1666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.