Heather Mills Derrick

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

2078 Issued in HI

Practice address

1900 Main St
Wailuku, HI 96793-1900

Phone

(808) 244-9099

NPI assigned

Feb 12, 2020

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

State licenses

Practice roles

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.

• Pharmacy Corporation of America

  • Pharmacy
  • Wailuku, HI
  • NPI 1831122407
  NPD (past)

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1952934499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MAIN ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931900",
            "telephone_number": "808-244-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAIN ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931900",
            "telephone_number": "808-244-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICK",
        "first_name": "HEATHER",
        "middle_name": "MILLS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "HI",
            "license": "PH-2078",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "HI",
            "license": "2078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin M. Delisa, MD
• Van Delos Santos
• Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
• Dept. of Health-Hawaii-Developmental Disabilities Division Cmumaui
• Linda L Deramus, PH.D.
• Devin S. Lee, MD LLC
• Jessica Dicenzo, MSW
• Vona B Diener, M.D.
• Dianna M Difrenna, LMT
• Rebecca F Diliberto, LMT

• All providers in Wailuku, HI
• Ambulatory Care Pharmacist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.