Active NPI
Mary W Macmillan, R.PH.
- Oncology Pharmacist
- Honolulu, HI
National Provider Identifier
1053485144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 362
- Practice address
- 3288 Moanalua Rd
KP Moanalua Med Ctr Oncology Clinic
Honolulu, HI 96819-1469 - Phone
- (808) 423-8593
- Fax
- (808) 432-8590
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 362 | HI | Primary |
Addresses
Primary practice location
3288 Moanalua Rd
KP Moanalua Med Ctr Oncology Clinic
Honolulu, HI 96819-1469
Mailing address
94-555 Alapoai St
Apt 145
Mililani, HI 96789-1674
Phone (808) 623-0977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 362 | HI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053485144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-555 ALAPOAI ST",
"address_2": "APT 145",
"city": "MILILANI",
"state": "HI",
"postal_code": "967891674",
"telephone_number": "808-623-0977",
"fax_number": "808-623-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3288 MOANALUA RD",
"address_2": "KP MOANALUA MED CTR ONCOLOGY CLINIC",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191469",
"telephone_number": "808-423-8593",
"fax_number": "808-432-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACMILLAN",
"first_name": "MARY",
"middle_name": "W",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "HI",
"license": "362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.