Active NPI
Jeffrey Wai Sung Kong
- Pharmacist
- Mililani, HI
National Provider Identifier
1114428562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-692
- Practice address
- 95-1249 Meheula Pkwy Ste D
Mililani, HI 96789-1779 - Phone
- (808) 625-5222
- Fax
- (808) 625-5950
- NPI assigned
- Feb 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 692 | HI | |
| Pharmacist | 183500000X | PH-692 | HI | Primary |
Addresses
Primary practice location
95-1249 Meheula Pkwy Ste D
Mililani, HI 96789-1779
Mailing address
94-333 Kaholo St
Mililani, HI 96789-2532
Phone (808) 927-5678
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH-692 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1114428562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-333 KAHOLO ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892532",
"telephone_number": "808-927-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95-1249 MEHEULA PKWY STE D",
"city": "MILILANI",
"state": "HI",
"postal_code": "967891779",
"telephone_number": "808-625-5222",
"fax_number": "808-625-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONG",
"first_name": "JEFFREY",
"middle_name": "WAI SUNG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "692",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.