Kimberly K Su, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH-1815 Issued in HI

Practice address

321 N Kuakini St #105
Plaza Pharmacy
Honolulu, HI 96817

Phone

(808) 547-9440

Fax

(808) 547-9434

NPI assigned

Nov 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly K Doi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kuakini Development Corporation

  • Pharmacy
  • Honolulu, HI
  • NPI 1326031279
  NPD

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1639886039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST #105",
            "address_2": "PLAZA PHARMACY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST #105",
            "address_2": "PLAZA PHARMACY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-547-9440",
            "fax_number": "808-547-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-1815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "DOI",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tammy Lynn Stumbaugh, M.S.
• Laura Marie Sturgis, PH.D.
• Jill Stutsman, MSW, CTRS
• Emily Su, O.D.
• Jonathan Su, DPT
• Marissa I-Fang Su, MD
• Hilda Su'E
• Lance Suan, PH.D
• Evelini Suani Fiatoa
• Gregory Alan Suares, MD

• Pharmacist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pharmacist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.