HEATHER MILLS DERRICK (NPI# 1952934499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952934499 |
| Entity Type | Individual |
| Full Name | HEATHER MILLS DERRICK |
| Practice Address |
1900 Main St Wailuku HI 96793-1900 |
| Practice Telephone | 8082449099 |
| Mailing Telephone | 8082449099 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PH-2078 | HI | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
2078 | HI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518396449 | Heather A Derrick | Case Manager/Care Coordinator | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2013-11-01 |
| 1407050099 | Heather Sloan Derrick | Obstetrics & Gynecology | 7900 Henneman Way, Suite 100, Mckinney, TX 75070-2914 | 2007-06-14 |
| Street Address |
1900 MAIN ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740720747 | Mark Brown | Pharmacist | 1900 Main St, Suite #3, Wailuku, HI 96793-1900 | 2017-02-24 |
| 1659571388 | Longs Drug Stores California, Inc. | Durable Medical Equipment & Medical Supplies | 1900 Main St, #4, Wailuku, HI 96793-1900 | 2007-07-20 |
| 1194750133 | Pharmacy Corporation of America | Durable Medical Equipment & Medical Supplies | 1900 Main St, Suite 3, Wailuku, HI 96793-1900 | 2006-07-11 |
| 1831122407 | Pharmacy Corporation of America | Pharmacy | 1900 Main St, Wailuku, HI 96793-1900 | 2006-07-08 |
| 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 | 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 |
| 1104316215 | Kevin Craig Glick | Pharmacist | 4491a Kolopa St, Lihue, HI 96766-2034 | 2018-05-14 |
| 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 |
| 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.