Individual provider Active NPI

Nicholas Pang, PHARM D.

  • Pharmacist
  • Honolulu, HI
National Provider Identifier
1194449348
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH4682 Issued in HI
Practice address
888 Kapahulu Ave
Honolulu, HI 96816-1497
Phone
(808) 732-2600
NPI assigned
Sep 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH4682 HI Primary

Addresses

Primary practice location

888 Kapahulu Ave
Honolulu, HI 96816-1497

Mailing address

1548A Paula Dr
Honolulu, HI 96816-4374

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.safeway.com/?cmpid=ps_swy_noc_ecom_bng_20200803_71700000069799769_58700006173956605_43700055780819073&&gclid=46315c7924841f93e9013f4e469d3557&gclsrc=3p.ds&msclkid=46315c7924841f93e9013f4e469d3557 Direct

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH4682HIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1194449348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548A PAULA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 KAPAHULU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161497",
            "telephone_number": "808-732-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH4682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.safeway.com/?cmpid=ps_swy_noc_ecom_bng_20200803_71700000069799769_58700006173956605_43700055780819073&&gclid=46315c7924841f93e9013f4e469d3557&gclsrc=3p.ds&msclkid=46315c7924841f93e9013f4e469d3557",
            "affiliation": "N",
            "endpointDescription": "Safeway Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "888 Kapahulu Ave",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968161497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 30, 2022; 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.