Active NPI
Supakit Wongwiwatthananukit, PHARM.D., PH.D.
- Pharmacotherapy Pharmacist
- Hilo, HI
National Provider Identifier
1427296995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PH-2805
- Practice address
- 50 Maile St Apt A22
Hilo, HI 96720-4381 - Phone
- (808) 933-2947
- Fax
- (808) 933-2974
- NPI assigned
- Jan 21, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PH-2805 | HI | Primary |
Addresses
Primary practice location
50 Maile St Apt A22
Hilo, HI 96720-4381
Mailing address
50A Maile St Apt 22
Hilo, HI 96720-4349
Phone (808) 933-2947
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 Philosophy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH-2805 | HI | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1427296995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50A MAILE ST APT 22",
"city": "HILO",
"state": "HI",
"postal_code": "967204349",
"telephone_number": "808-933-2947",
"fax_number": "808-933-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MAILE ST APT A22",
"city": "HILO",
"state": "HI",
"postal_code": "967204381",
"telephone_number": "808-933-2947",
"fax_number": "808-933-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONGWIWATTHANANUKIT",
"first_name": "SUPAKIT",
"name_prefix": "Dr.",
"credential": "PHARM.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "HI",
"license": "PH-2805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.