MERVIN LUM (NPI# 1083025829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083025829 |
Entity Type | Individual |
Full Name | MERVIN LUM |
Practice Address |
4850 Kapolei Pkwy Kapolei HI 96707-3203 |
Mailing Address |
94-424 Punono St Mililani HI 96789-2567 |
Practice Telephone | 8086741156 |
Mailing Telephone | 8082268332 |
Enumeration Date | 2014-05-14 |
Last Update Date | 2014-05-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
717 | HI | Pharmacy Service Providers |
Street Address |
4850 KAPOLEI PKWY |
City | KAPOLEI |
State | HI |
Zip Code | 96707-3203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851782205 | Foodland Lab #43 | Clinical Medical Laboratory | 4850 Kapolei Pkwy, Kapolei, HI 96707-3203 | 2015-02-06 |
1689074759 | Andrew C. Dado, D.d.s., L.L.C. | Dentist | 4850 Kapolei Pkwy, #405, Kapolei, HI 96707-3203 | 2014-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740840578 | Brittany Feiteira | Community Health Worker | Napuakea Waiver Program Service Center, 92-461 Makakilo Drive, Kapolei, HI 96707 | 2019-06-14 |
1023537297 | Virgil Tanizaki | Acupuncturist | 2176 Lauwiliwili St Unit 1 Office 12, Kapolei, HI 96707 | 2017-09-19 |
1902355886 | Lorelei Bandola | Specialist/Technologist | 91-1180 Midway Rd, Kapolei, HI 96707 | 2016-10-03 |
1063867794 | Denna Macanas | Massage Therapist | 599 Farrington Hwy., Ste.#102, Kapolei, HI 96707 | 2016-05-02 |
1962888065 | Harumi Redden | Massage Therapist | 1001 Kamokila Blvd, Suite 114, Kapolei, HI 96707 | 2015-07-31 |
1851783351 | Leigh Oyler | Physical Therapist | 91-1027 Shangrila Street, Bldg 1867, Kapolei, HI 96707 | 2015-02-21 |
1326440207 | Hsiao-ling Shen Hoshino | Dentist | 590 Farrington Hwy Unit 523, Kapolei, HI 96707 | 2014-09-22 |
1992131387 | Kaiser Foundation Health Plan, Inc. | Pharmacy | Kaiser Kapolei Pharmacy, 599 Farrington Highway, Kapolei, HI 96707 | 2013-09-18 |
1083959993 | Foodland Super Market Limited | Pharmacy | 4850 Kapolei Parkway, Kapolei, HI 96707 | 2012-12-04 |
1407108095 | Kristen Pagulayan | Social Worker | 92-7038 Elele St, Kapolei, HI 96707 | 2012-10-08 |
Find all providers in zip 96707 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427296995 | Supakit Wongwiwatthananukit | Pharmacist | 50 Maile St Apt A22, Hilo, HI 96720-4381 | 2009-01-21 |
1306998570 | Ramona Keiko Lee Corson | Pharmacist | 80 Mahalani Street, Kaiser Wailuku Clinic, Wailuku, HI 96793 | 2007-01-17 |
1003968298 | Ross T. Takara | Pharmacist | 2828 Paa St Ste 2420b, Honolulu, HI 96819-4405 | 2007-01-17 |
1295887933 | Sylvia K. Shimonishi | Pharmacist | 501 Alakawa St Ste 101, Pharmacy Administration, Honolulu, HI 96817-5700 | 2007-01-16 |
1174597900 | Debora S Chan | Pharmacist | Mchk-pe Department of Pediatrics, 1 Jarrett White Road, Tripler Amc, HI 96859-5000 | 2006-02-16 |
1245852987 | Christopher Lai Hipp | Pharmacist | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2020-05-16 |
1962022954 | Jason Akira Okazaki | Pharmacist | 75-1015 Henry St, Kailua Kona, HI 96740-1681 | 2020-04-20 |
1295230464 | Sabrina Allen | Pharmacist | 45-710 Keaahala Rd, Kaneohe, HI 96744-3528 | 2018-03-28 |
1881036242 | Kesha T Morgan | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2013-07-25 |
1689929473 | Caitrin E Vordtriede | Pharmacist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2012-07-17 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.