Individual provider Active NPI

Nicole J Pagoyo, PHARMD

  • Pharmacist
  • Honolulu, HI
National Provider Identifier
1992997340
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2678 Issued in HI
Practice address
3375 Koapaka St Ste D108
Honolulu, HI 96819-1865
Phone
(808) 831-5873
Fax
(808) 831-5888
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-14192 KS
Pharmacist 183500000X 2678 HI Primary

Addresses

Primary practice location

3375 Koapaka St Ste D108
Honolulu, HI 96819-1865

Mailing address

3375 Koapaka St Ste D108
Honolulu, HI 96819-1865
Phone (808) 831-5873

Other names 1

  • Nicole J Patton Former name

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

LicenseStateTypeSpecialty
1-14192KSMDPharmacist
2678HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Qsi Inc Past Accepting new patients
Qsi Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1992997340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 KOAPAKA ST STE D108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191865",
            "telephone_number": "808-831-5873",
            "fax_number": "808-831-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 KOAPAKA ST STE D108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191865",
            "telephone_number": "808-831-5873",
            "fax_number": "808-831-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGOYO",
        "first_name": "NICOLE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-14192",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "2678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PATTON",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 11, 2007; 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.