Melissa Yon Jenkins, PHARM.D
Individual provider Active NPI Pharmacist · Holualoa, HI
NPI 1508959248 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1508959248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH-2453 (HI)
- Practice address
- 75-5259 Mamalahoa Hwy Apt D2
Holualoa, HI 96725-9643 - Phone
- (808) 989-2724
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S023496 | AZ | MD | Pharmacist |
| RPH-53706 | CA | MD | Pharmacist |
| PH-2453 | HI | MD | Pharmacist |
| IND-933891 | HI | MD | Ambulatory Care Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | IND-933891 | HI | |
| Pharmacist | 183500000X | PH-2453 | HI | Yes |
| Pharmacist | 183500000X | RPH-53706 | CA | |
| Pharmacist | 183500000X | S023496 | AZ |
Addresses
Primary practice location
75-5259 Mamalahoa Hwy Apt D2
Holualoa, HI 96725-9643
Mailing address
75-5259 Mamalahoa Hwy Apt D2
Holualoa, HI 96725-9643
Phone (808) 989-2724
Other names
- Melissa Yon Kim
Other providers in Holualoa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.