NPI 1356965115 · live from the CMS NPI Registry
Tyler Black, Pharmd
Pharmacist in Kaneohe, HI. National Provider Identifier 1356965115, active.
NPI record
| NPI | 1356965115 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 47-388 Hui Iwa St, Kaneohe, HI 96744 |
| Practice phone | 808-239-3204 |
| Enumerated | June 7, 2020 |
| Last updated | June 7, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 2979 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.