Active NPI
Micheal Angelo Sagun, PHARM.D.
- Pharmacist
- Waikoloa, HI
National Provider Identifier
1689366080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-4944
- Practice address
- 68-3916 Paniolo Ave
Waikoloa, HI 96738 - Phone
- (808) 883-8434
- Fax
- (808) 883-8540
- NPI assigned
- May 23, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH-4944 | HI | Primary |
Addresses
Primary practice location
68-3916 Paniolo Ave
Waikoloa, HI 96738
Mailing address
68-3916 Paniolo Ave
Waikoloa, HI 96738
Phone (808) 883-8434
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 |
|---|---|---|---|
| PH-4944 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1689366080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68-3916 PANIOLO AVE",
"city": "WAIKOLOA",
"state": "HI",
"postal_code": "96738",
"telephone_number": "808-883-8434",
"fax_number": "808-883-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68-3916 PANIOLO AVE",
"city": "WAIKOLOA",
"state": "HI",
"postal_code": "96738",
"telephone_number": "808-883-8434",
"fax_number": "808-883-8540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGUN",
"first_name": "MICHEAL ANGELO",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-4944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waikoloa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.