Individual provider Active NPI

Christina Malia Method Requelman, CPHT

  • Pharmacy Technician
  • Hilo, HI
National Provider Identifier
1992425763
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
410101070951424 Issued in HI
Practice address
50 E Puainako St
Hilo, HI 96720-5243
Phone
(808) 959-8700
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 410101070951424 HI Primary

Addresses

Primary practice location

50 E Puainako St
Hilo, HI 96720-5243

Mailing address

50 E Puainako St
Hilo, HI 96720-5294
Phone (808) 959-8700

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
410101070951424HIMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1992425763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E PUAINAKO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205294",
            "telephone_number": "808-959-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E PUAINAKO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205243",
            "telephone_number": "808-959-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REQUELMAN",
        "first_name": "CHRISTINA",
        "middle_name": "MALIA METHOD",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "HI",
            "license": "410101070951424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.