Active NPI
Jared Thomas Schmitz
- Pharmacist
- Kamuela, HI
National Provider Identifier
1962778506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2982
- Practice address
- 67-1185 Mamalohoa Hwy
Kamuela, HI 96743 - Phone
- (808) 885-2075
- Fax
- (808) 885-2061
- NPI assigned
- Mar 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2982 | HI | Primary |
| Pharmacist | 183500000X | SO13696 | AZ |
Addresses
Primary practice location
67-1185 Mamalohoa Hwy
Kamuela, HI 96743
Mailing address
67-1185 Mamalohoa Hwy
Kamuela, HI 96743
Phone (808) 885-2075
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2982 | HI | MD | General Practice Dentistry |
| SO13696 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1962778506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67-1185 MAMALOHOA HWY",
"city": "KAMUELA",
"state": "HI",
"postal_code": "96743",
"telephone_number": "808-885-2075",
"fax_number": "808-885-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67-1185 MAMALOHOA HWY",
"city": "KAMUELA",
"state": "HI",
"postal_code": "96743",
"telephone_number": "808-885-2075",
"fax_number": "808-885-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITZ",
"first_name": "JARED",
"middle_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-28",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "2982",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "SO13696",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.