1306114210 NPI number — DR. HELAINE JUNE KWONG MD, PHARM. D

Table of content: DR. HELAINE JUNE KWONG MD, PHARM. D (NPI 1306114210)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306114210 NPI number — DR. HELAINE JUNE KWONG MD, PHARM. D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KWONG
Provider First Name:
HELAINE
Provider Middle Name:
JUNE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, PHARM. D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306114210
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/14/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
550 S BERETANIA ST STE 601
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96813-2423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-691-8900
Provider Business Mailing Address Fax Number:
808-691-8919

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
550 S BERETANIA ST STE 601
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-2423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-691-8900
Provider Business Practice Location Address Fax Number:
808-691-8919
Provider Enumeration Date:
12/06/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  03331447 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: MD-21771 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)