Andrew Agustin, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH-4504 Issued in HI

Practice address

1131 Kuala St
Pearl City, HI 96782-2886

Phone

(808) 454-8792

NPI assigned

Dec 2, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1003453705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2012 LAAKONA PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064020",
            "telephone_number": "808-392-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 KUALA ST",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822886",
            "telephone_number": "808-454-8792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 N School St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968171844",
            "country_code": "US",
            "telephone_number": "808-564-7260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUSTIN",
        "first_name": "ANDREW",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-4504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Jean Adelson, MS, SLP
• Roland Domingo Advincula Jr.
• Maylene Bornales Agnes
• Michael James Tapel Aguinaldo
• Stephen Aguinaldo
• Darylle Dave Rebano Agustin
• Aiea Pearl City Dental Care LLP
• Janessa Akaka
• Akamai Healthcare Services Inc.
• Layne S Akana Jr.

• Pharmacist in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Pharmacist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.