MALTE BREITLOW (NPI# 1619277316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619277316 |
| Entity Type | Individual |
| Full Name | MALTE BREITLOW |
| Credential | PHARMD. |
| Practice Address |
55 Maui Lani Pkwy Wailuku HI 96793-2416 |
| Practice Telephone | 8082436565 |
| Practice Fax Number | 8082436568 |
| Mailing Telephone | 8082436565 |
| Mailing Fax Number | 8082436568 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2015-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 3539 | HI | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 18480 | CO | Pharmacy Service Providers |
| Street Address |
55 MAUI LANI PKWY |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093722399 | Rachel Kaya | Psychologist | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2006-08-01 |
| 1407404387 | Lyra Fumiko Ronquillo Chua | Nurse Practitioner | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2019-09-03 |
| 1841708369 | Lori Shinsato | Social Worker | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2018-01-18 |
| 1952827438 | Stacy Haunani Tan | Social Worker | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2017-08-16 |
| 1952703266 | Tiare Gorospe | Pharmacist | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2014-09-17 |
| 1538569124 | Luisa Ogawa | Nurse Practitioner | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2014-09-02 |
| 1194061549 | Stephanie Manzella | Physician Assistant | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2012-12-12 |
| 1740567338 | Wesley Ching | Pharmacist | 55 Maui Lani Pkwy, Mln Pharmacy, Wailuku, HI 96793-2416 | 2011-11-09 |
| 1598057200 | Anna Sokolowski | Family Medicine | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2011-05-12 |
| 1194014357 | Kaumakaokalani Shimatsu | Internal Medicine | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2011-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| 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 |
|---|---|---|---|---|
| 1245862895 | Carlin Ventura | Pharmacist | 1900 Main St Ste 4, Wailuku, HI 96793-1900 | 2020-02-11 |
| 1801385935 | Emily A Krug | Pharmacist | 101 E Kanamele Loop, Wailuku, HI 96793-8316 | 2018-05-03 |
| 1841607546 | Tiffany Kimiko M Lorenzo | Pharmacist | 29 Ili Kupono St, Wailuku, HI 96793-9315 | 2014-07-15 |
| 1285934240 | Brooke M Shiotani | Pharmacist | 39 Kaalea Way, 9d, Wailuku, HI 96793-3124 | 2010-10-25 |
| 1356959662 | Jared Toba | Pharmacist | 58 Maui Lani Pkwy Ste 5000, Wailuku, HI 96793-2462 | 2020-07-22 |
| 1447881057 | Melanie Joy Tom | Pharmacist | 135 Kehalani Village Dr, Wailuku, HI 96793-2197 | 2020-02-01 |
| 1205467156 | Shane Manago | Pharmacist | 135 Kehalani Village Dr, Wailuku, HI 96793-2197 | 2020-01-30 |
| 1124536354 | Lauren Levine | Pharmacist | 135 Kehalani Village Dr, Wailuku, HI 96793-2197 | 2018-01-23 |
| 1740720747 | Mark Brown | Pharmacist | 1900 Main St, Suite #3, Wailuku, HI 96793-1900 | 2017-02-24 |
| 1861867558 | Cory Lehano | Pharmacist | 700 Waiale Rd, Wailuku, HI 96793-2469 | 2015-12-07 |
| Find all providers in WAILUKU | ||||
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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.