DR. JARRED B PRUDENCIO PHARM.D.
NPI 1649721994
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Hilo, HI

Q: What is Jarred Prudencio's NPI number?

The NPI number for Jarred Prudencio is 1649721994. It was assigned to this individual provider in the NPPES registry on October 21, 2016.

Q: What is Jarred Prudencio's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for Jarred Prudencio was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 21, 2016

45 MOHOULI ST STE 101, HILO, HI 96720(808) 932-4215 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jarred B Prudencio Pharm.d. NPPES

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

DR. JARRED B PRUDENCIO PHARM.D. (NPI 1649721994) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Hilo, Hawaii, licensed in Hawaii (PH-4021) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1649721994

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameDR. JARRED B PRUDENCIOCredential: PHARM.D.

Location Address45 MOHOULI ST STE 101Hilo, HI 96720-7210

Mailing Address200 W Kawili StHilo, HI 96720-4075 · (808) 937-2032

Phone(808) 932-4215

Sole ProprietorNo

Enumeration DateOctober 21, 2016

✔ NPI 1649721994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in HI · PH-4021

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Also ListedPharmacist · Ambulatory CareTaxonomy 1835P2201X · License PH-4021 (HI)

45 MOHOULI ST STE 101, Hilo, HI 96720

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Other Providers at the Same Location NPPES

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

MICHELLE SAORI KIM PHARMD

Pharmacist (Ambulatory Care)

45 MOHOULI ST STE 101
HILO, HI 96720

Hawaii County (808) 932-4215

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 Jarred Prudencio's NPI number?

The NPI number for Jarred Prudencio is 1649721994. It was assigned to this individual provider in the NPPES registry on October 21, 2016.

Where is Jarred Prudencio located?

Jarred Prudencio practices at 45 Mohouli St Ste 101, Hilo, HI 96720. The listed phone number is (808) 932-4215.

What is Jarred Prudencio's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jarred Prudencio was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.