DR. JAKE ELSBERND (NPI# 1497162523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497162523 |
| Entity Type | Individual |
| Full Name | DR. JAKE ELSBERND |
| Credential | PHARMD |
| Practice Address |
94-1480 Moaniani St Waipahu HI 96797-4632 |
| Mailing Address |
94-1480 Moaniani Street Waipahu HI 96797 |
| Practice Telephone | 8084323190 |
| Practice Fax Number | 8084323155 |
| Mailing Telephone | (808) 432-3190 |
| Mailing Fax Number | 8084323155 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH3749 | HI | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 0202213108 | VA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 680 Iwilei Rd Ste 600, Honolulu, HI 968175393 | 7033460442 |
| Street Address |
94-1480 MOANIANI ST |
| City | WAIPAHU |
| State | HI |
| Zip Code | 96797-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114911450 | Shelly A. Tomishima | Psychologist | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2005-09-01 |
| 1679927834 | Eleazar Dial | Physician Assistant | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2016-04-14 |
| 1770992919 | Justin Maeda | Psychologist | 94-1480 Moaniani St, Kaiser Permanente Waipio Clinic, Waipahu, HI 96797-4632 | 2014-08-12 |
| 1083044408 | Alissa T Hino | Physician Assistant | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2013-11-21 |
| 1013350719 | Sara Christine Harris | Obstetrics & Gynecology | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2013-04-11 |
| 1760726426 | Jennifer Begonia | Counselor | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2012-11-19 |
| 1063774040 | Susan Gray Hurley | Family Medicine | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2012-06-14 |
| 1184904104 | Emily Newman Sumner | Family Medicine | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2011-08-22 |
| 1508185240 | Komal Singh Soin | Family Medicine | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2010-05-20 |
| 1467689992 | Cherry Rose Rosales | Family Medicine | 94-1480 Moaniani St, Waipahu, HI 96797-4632 | 2009-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
| 1205478625 | Jason Lee Riessland | Licensed Practical Nurse | 94-450 Mokuola Street, Suite 100, Waipahu, HI 96797 | 2019-10-17 |
| 1942858246 | James Jiro Horie | Technician | 94-732 Kuhaulua Pl., Waipahu, HI 96797 | 2019-08-29 |
| 1154987014 | Joy Anne Ramos Mendoza | Registered Nurse | 94-216 Farrington Hwy B2-302, Waipahu, HI 96797 | 2019-05-16 |
| 1902382336 | Enm Transportation LLC | Non-emergency Medical Transport (VAN) | 94-144 Kaaholo Place, Walpahu, HI 96797 | 2018-07-18 |
| 1104328418 | Leia Reynolds | Behavior Technician | 94 849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2018-03-02 |
| 1760980056 | Janice Martineau | Pharmacist | 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 | 2018-02-01 |
| 1184131229 | Kathleen Balallo | Behavior Technician | 94-513 Hiahia Loop, Waipahu, HI 96797 | 2018-01-10 |
| 1922515824 | Bryan Spare | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108, #167, Waipahu, HI 96797 | 2018-01-02 |
| 1174039390 | Yiana Burton | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108 #167, Waipahu, HI 96797 | 2017-12-26 |
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| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134600158 | Derek M Tengan | Pharmacist | 94-216 Farrington Hwy Ste 102, Waipahu, HI 96797-1900 | 2018-08-27 |
| 1760980056 | Janice Martineau | Pharmacist | 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 | 2018-02-01 |
| 1447632377 | Dianne Feigenspan | Pharmacist | 94-521 Halemoe Pl, Waipahu, HI 96797-2708 | 2015-06-27 |
| 1851645246 | John Pang | Pharmacist | 94-271 Olua Pl, Waipahu, HI 96797-5636 | 2012-11-06 |
| 1063789212 | Ruth Ohashi | Pharmacist | 94-307 Farrington Hwy Ste B7b, Waipahu, HI 96797-2500 | 2011-11-16 |
| 1871803007 | Caitlin Miyuki Kanoelani Mizoshiri | Pharmacist | 94-1146 Moolelo St, Waipahu, HI 96797-4127 | 2010-10-21 |
| 1154643070 | Steven Toshi Fukumoto | Pharmacist | 94-825 Lumiaina St, Waipahu, HI 96797-5025 | 2010-02-19 |
| 1891984993 | Rayanne Pascua | Pharmacist | 94-766 Farrington Hwy, Waipahu, HI 96797-3348 | 2007-10-15 |
| 1023123692 | Waipahu Town Pharmacy Inc | Pharmacist | 94-307 Farrington Hwy #b-7b, Waipahu, HI 96797 | 2006-08-21 |
| 1750994745 | Cherielyne Baldugo | Pharmacist | 94-849 Lumiaina St, Waipahu, HI 96797-5677 | 2020-08-28 |
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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.