Active NPI
Jennifer Pang, PHARM.D.
- Pharmacist
- Honolulu, HI
National Provider Identifier
1609055052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59807
- Practice address
- 1418 Alewa Dr
Honolulu, HI 96817-1203 - Phone
- (408) 406-7906
- NPI assigned
- Nov 1, 2007
- Sex
- Female
- 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 | 59807 | CA | Primary |
| Ambulatory Care Pharmacist | 1835P2201X | PH3961 | HI |
Addresses
Primary practice location
1418 Alewa Dr
Honolulu, HI 96817-1203
Mailing address
1418 Alewa Dr
Honolulu, HI 96817-1203
Phone (408) 406-7906
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
| License | State | Type | Specialty |
|---|---|---|---|
| 59807 | CA | MD | Periodontist |
| PH3961 | HI | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1609055052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 ALEWA DR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968171203",
"telephone_number": "408-406-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 ALEWA DR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968171203",
"telephone_number": "408-406-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-01",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59807",
"primary": true
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "HI",
"license": "PH3961",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.