KRISTINE CORLISS (NPI# 1952402893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952402893 |
| Entity Type | Individual |
| Full Name | KRISTINE CORLISS |
| Credential | PHARMD |
| Practice Address |
56-117 Pualalea St Kahuku HI 96731-2052 |
| Practice Telephone | 8082939221 |
| Practice Fax Number | 8082932262 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
30344 | CA | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PH-654 | HI | Pharmacy Service Providers |
| Street Address |
56-117 PUALALEA ST |
| City | KAHUKU |
| State | HI |
| Zip Code | 96731-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974375 | Kahuku Hospital | Skilled Nursing Facility | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2005-07-07 |
| 1336660091 | Derek Alfred Melcher | Physical Therapist | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2017-07-03 |
| 1780125179 | Kahuku Medical Center | Clinic/Center | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2017-03-17 |
| 1215477476 | Kori Napa'a | Social Worker | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2017-03-06 |
| 1306296389 | Karoline K Tam | Marriage & Family Therapist | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2016-06-21 |
| 1679980387 | Merita Sao-auelua | Registered Nurse | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2014-07-14 |
| 1871918755 | North Shore Mental Health, Inc | Case Management | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2014-02-28 |
| 1922390442 | North Shore Mental Health, Inc. | Case Management | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2011-05-03 |
| 1144544677 | Thomas Joel Robertson | Social Worker | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2010-03-26 |
| 1346573326 | Sheila Grover Tolutau | Registered Nurse | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2009-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149405 | Teniiti Taie Burennatu | Counselor | 55-660 Kamehameha Hwy, Kahuku, HI 96731 | 2020-06-23 |
| 1568909109 | Maia Miller | Specialist/Technologist | 46-590 Kamehameha Hwy, Kahuku High School, Kahuku, HI 96731 | 2017-01-20 |
| 1063766079 | Ko'olauloa Health Center | Clinic/Center | 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 | 2012-10-30 |
| 1295097830 | Kerry Saitia Moea'i | Social Worker | 56-395 Huehu St., Kahuku, HI 96731 | 2012-06-11 |
| 1114194073 | Jason Hughes | Internal Medicine | 56-117 Pualalea Street, Kahuku, HI 96731 | 2008-05-09 |
| 1942341318 | Kaiser Foundation Health Plan Inc | Pharmacy | 56 700 Kamehameha Highway, Kahuku, HI 96731 | 2007-02-09 |
| 1659438281 | Carol Francine Green | Social Worker | 56 565 Kamehameha Hwy, Kahuku, HI 96731 | 2007-01-02 |
| 1578508602 | Douglas A Sutherland | Pediatrics | 56 119 Pualalea St, Kahuku, HI 96731 | 2006-06-20 |
| 1528026952 | Ko'olauloa Health Center | Clinic/Center | 56-119 Pualalea St., Kahuku, HI 96731 | 2006-05-03 |
| 1144683012 | Tara Reed | Internal Medicine | 56-119 Pualalea St, Kahuku, HI 96731 | 2016-03-30 |
| Find all providers in zip 96731 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083025829 | Mervin Lum | Pharmacist | 4850 Kapolei Pkwy, Kapolei, HI 96707-3203 | 2014-05-14 |
| 1427296995 | Supakit Wongwiwatthananukit | Pharmacist | 50 Maile St Apt A22, Hilo, HI 96720-4381 | 2009-01-21 |
| 1306998570 | Ramona Keiko Lee Corson | Pharmacist | 80 Mahalani Street, Kaiser Wailuku Clinic, Wailuku, HI 96793 | 2007-01-17 |
| 1003968298 | Ross T. Takara | Pharmacist | 2828 Paa St Ste 2420b, Honolulu, HI 96819-4405 | 2007-01-17 |
| 1295887933 | Sylvia K. Shimonishi | Pharmacist | 501 Alakawa St Ste 101, Pharmacy Administration, Honolulu, HI 96817-5700 | 2007-01-16 |
| 1174597900 | Debora S Chan | Pharmacist | Mchk-pe Department of Pediatrics, 1 Jarrett White Road, Tripler Amc, HI 96859-5000 | 2006-02-16 |
| 1245852987 | Christopher Lai Hipp | Pharmacist | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2020-05-16 |
| 1962022954 | Jason Akira Okazaki | Pharmacist | 75-1015 Henry St, Kailua Kona, HI 96740-1681 | 2020-04-20 |
| 1295230464 | Sabrina Allen | Pharmacist | 45-710 Keaahala Rd, Kaneohe, HI 96744-3528 | 2018-03-28 |
| 1881036242 | Kesha T Morgan | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2013-07-25 |
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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.