MR. MARADA DECKER JR. (NPI# 1851674477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851674477 |
| Entity Type | Individual |
| Full Name | MR. MARADA DECKER JR. |
| Credential | RPH |
| Practice Address |
2180 Main St #102 Wailuku HI 96793-1625 |
| Practice Telephone | 8082447252 |
| Practice Fax Number | 8082425837 |
| Mailing Telephone | 8082447252 |
| Mailing Fax Number | 8082425837 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 449 | HI | Pharmacy Service Providers |
| Street Address |
2180 MAIN ST #102 |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578827 | Judy L Schmidt | Internal Medicine | 2180 Main St, Wailuku, HI 96793-1625 | 2005-06-15 |
| 1710502331 | Jalin K.a. Finai | Audiologist | 2180 Main St, Wailuku, HI 96793-1625 | 2020-06-09 |
| 1154951499 | Philip Michael Tongg Jr. | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2020-01-24 |
| 1902440365 | Natasha Victoria Murray | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2019-10-29 |
| 1740831445 | Maria Castellanos | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-09-24 |
| 1770143026 | Tamsyn Kellough | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-06-19 |
| 1851863419 | Emily Newman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-12-20 |
| 1083100986 | Rebeka Lyn Coleman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-07-03 |
| 1700383155 | Shawna Wiley | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793 | 2018-04-11 |
| 1821516618 | Tanya Takatani-apo | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2017-08-31 |
| 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.