KEVIN CRAIG GLICK (NPI# 1104316215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104316215 |
| Entity Type | Individual |
| Full Name | KEVIN CRAIG GLICK |
| Credential | R.PH. |
| Practice Address |
4491a Kolopa St Lihue HI 96766-2034 |
| Practice Telephone | 8082469100 |
| Mailing Telephone | 8082469100 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PH797 | HI | Pharmacy Service Providers |
| Street Address |
4491A KOLOPA ST |
| City | LIHUE |
| State | HI |
| Zip Code | 96766-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989747 | Amber Denise Leach | Hearing Instrument Specialist | 4405 Kukei Grove St Suite 101, Lihue, HI 96766 | 2019-05-30 |
| 1730746264 | Maria Celeste I Papa | Home Health | 2980 Ewalu St., Unit 1, Lihue, HI 96766 | 2019-05-20 |
| 1588141287 | Dr. Joseph Schafermeyer LLC. | Dentist | 4381 Kukui Grove St., Ste. 2, Lihue, HI 96766 | 2018-07-25 |
| 1497232466 | Island Hand Therapy Clinic LLC | Occupational Therapist | 3175 Elua St Ste A, Lihue, HI 96766 | 2018-07-23 |
| 1245717578 | Robert M. Long, Dds. Inc. | Dentist | 4359 Kukui Grove Street, Suite 104, Lihue, HI 96766 | 2018-07-19 |
| 1922599547 | Annette Marisa Martinez | Behavior Technician | 3-3367 Kuhio Hwy # 211, Lihue, HI 96766 | 2018-05-21 |
| 1053822510 | Christopher Michael Wilson | Behavior Technician | 3-3367 Kuhio Hwy Ste 204, Lihue, HI 96766 | 2017-10-23 |
| 1740706308 | Kaumualii Medical Supplies | Durable Medical Equipment & Medical Supplies | 3-2600 Kaumualii Hwy 1300 #114, Lihue, HI 96766 | 2017-08-16 |
| 1629598925 | Araceli Rapozo | Counselor | 4370-kukui Grove St Suite 3-211, Lihue, HI 96766 | 2017-06-27 |
| 1629504725 | Chantelle Kane | Behavioral Analyst | 3122 Kuhio Hwy, Lihue, HI 96766 | 2017-05-10 |
| Find all providers in zip 96766 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1053930388 | Debbie Tionquiao | Pharmacist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-16 |
| 1508485798 | Nadine So | Pharmacist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-08 |
| 1336768514 | Kara Krista Yamane-obana | Pharmacist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-08 |
| 1578182747 | Stacie D Sakauye | Pharmacist | 888 S King St, Honolulu, HI 96813-3097 | 2020-04-08 |
| 1952934499 | Heather Mills Derrick | Pharmacist | 1900 Main St, Wailuku, HI 96793-1900 | 2020-02-12 |
| 1477107316 | Courtnee Ho | Pharmacist | 2828 Paa St, Honolulu, HI 96819-4430 | 2019-07-29 |
| 1578045340 | Young Jae Park | Pharmacist | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2018-08-29 |
| 1629529805 | Michelle Saori Kim | Pharmacist | 45 Mohouli St Ste 101, Hilo, HI 96720-7210 | 2016-10-21 |
| 1841643269 | Erika Maile Choy | Pharmacist | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2016-07-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.