KEVIN CRAIG GLICK R.PH.
NPI 1104316215
Pharmacist - Ambulatory Care in Lihue, HI

Q: What is Kevin Glick's NPI number?

The NPI number for Kevin Glick is 1104316215. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Q: What is Kevin Glick's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Glick was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 14, 2018PECOS Enrolled

4491A KOLOPA ST, LIHUE, HI 96766(808) 246-9100 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kevin Craig Glick R.ph. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN CRAIG GLICK R.PH. (NPI 1104316215) is an individual ambulatory care provider in Lihue, Hawaii, licensed in Hawaii (PH797) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104316215

Entity TypeIndividualMale

Primary Taxonomy1835P2201X

Provider Legal NameKEVIN CRAIG GLICKCredential: R.PH.

Location Address4491A KOLOPA STLihue, HI 96766-2034

Mailing Address4491a Kolopa StLihue, HI 96766-2034 · (808) 246-9100

Phone(808) 246-9100

Sole ProprietorYes

Enumeration DateMay 14, 2018

✔ NPI 1104316215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers

Taxonomy Code1835P2201X

License✔ Licensed in HI · PH797

Definition

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.

4491A KOLOPA ST, Lihue, HI 96766

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Craig Glick R.ph. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYREN ISHIKAWA PHARMD

Pharmacist

4491A KOLOPA ST
LIHUE, HI 96766

Kauai County (808) 246-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Glick's NPI number?

The NPI number for Kevin Glick is 1104316215. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Kevin Glick located?

Kevin Glick practices at 4491A Kolopa St, Lihue, HI 96766. The listed phone number is (808) 246-9100.

What is Kevin Glick's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

Is Kevin Glick enrolled in Medicare?

Yes. Kevin Glick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Glick was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.