Kristine Corliss, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PH-654 Issued in HI

Practice address

56-117 Pualalea St
Kahuku, HI 96731-2052

Phone

(808) 293-9221

Fax

(808) 293-2262

NPI assigned

Sep 25, 2006

Last updated

Aug 1, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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.

• Kahuku Hospital Pharmacy

  • Long Term Care Pharmacy
  • Kahuku, HI
  • NPI 1265529119
  Authorized official Same address or phone

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1952402893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56-117 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-117 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312052",
            "telephone_number": "808-293-9221",
            "fax_number": "808-293-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLISS",
        "first_name": "KRISTINE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "HI",
            "license": "PH-654",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "30344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Woodson Buchner, PHARM.D.
• Teniiti Taie Burennatu
• Katelyn Chase, RN
• Rachel Christensen, DPT
• Hayley Rose Clark, L.AC
• Christopher Cummins
• Josevata Dredre Damuni
• Oseleah De Jesus
• Isabella Dearaujo
• Masina Decastro, LCSW

• Pharmacotherapy Pharmacist in Kahuku, HI
• Providers in Kahuku, HI by specialty
• Pharmacotherapy Pharmacist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.