NPI 1235975541 · live from the CMS NPI Registry
Jordan Anderson
Pharmacist in Waipahu, HI. National Provider Identifier 1235975541, active.
NPI record
| NPI | 1235975541 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 94-1480 Moaniani St, Waipahu, HI 96797 |
| Practice phone | 833-833-3333 |
| Mailing address | 91-229 Loululelo Pl, Kapolei, HI 96707 |
| Enumerated | July 5, 2024 |
| Last updated | July 5, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | PH-5027 (HI) |
| Pharmacist primary | 183500000X | S025967 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.