Wellness Pharmacy Store 2 Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY-801 Issued in HI

Legal business name

WELLNESS PHARMACY STORE 2 INC

Doing business as

Wellness Pharmacy Store #2

Practice address

1120 Maunakea St Ste 102
Honolulu, HI 96817-5173

Phone

(808) 550-2888

Fax

(808) 550-2889

NPI assigned

Mar 29, 2011

Organization subpart

No

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

Authorized official

Name

Yin Pun Wong, PHARMD

Title

Owner

Phone

(808) 550-2888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellness Pharmacy Store #2 Doing business as

Locations

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1083903264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BERETANIA ST",
            "address_2": "SUITE 148",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174712",
            "telephone_number": "808-550-2888",
            "fax_number": "808-550-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MAUNAKEA ST STE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175173",
            "telephone_number": "808-550-2888",
            "fax_number": "808-550-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHARMACY STORE 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "YIN PUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-550-2888",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "HI",
            "license": "PHY-801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129703",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Pharmacy Store #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.