Lisa Fong

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH-3952 Issued in HI

Practice address

1620 N School St
Honolulu, HI 96817-1844

Phone

(808) 832-8265

NPI assigned

Apr 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Qsi Inc

  • Community/Retail Pharmacy
  • Honolulu, HI
  • NPI 1053419085
  NPD (past)
• Qsi Inc

  • Pharmacy
  • Honolulu, HI
  • NPI 1942695911
  NPD (past)

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1104446384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 21ST AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N SCHOOL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171844",
            "telephone_number": "808-832-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-3952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EnterpriseRx",
            "affiliation": "N",
            "endpointDescription": "Pharmacy Operating System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pharmacy Operating System",
            "address_1": "1620 N School St",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968171844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frederick Fong, M.D.
• Gregory K. Fong, D.D.S.
• Henry Hung Chong Fong, M.D.
• Jackson Z Fong, PHARM.D
• Linda Luchau Fong, LCSW
• Lori Fong
• Lyndon Daizo Fong, LYNDON FONG DDS MS
• Phyllis B Y Fong, PT
• Rodney S.O. Fong, O.D.
• Taylor Fong, OTD, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.