MR. RENWICK G SERNA (NPI# 1801855390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801855390 |
Entity Type | Individual |
Full Name | MR. RENWICK G SERNA |
Credential | PHARM.D |
Practice Address |
1 Jarrett White Rd Tamc HI 96859-5001 |
Mailing Address |
3422 James St Honolulu HI 96815-4335 |
Practice Telephone | 8084332168 |
Mailing Telephone | 8082710729 |
Enumeration Date | 2006-03-22 |
Last Update Date | 2016-06-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 1592 | HI | Pharmacy Service Providers |
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1592 | HI | Pharmacy Service Providers |
Street Address |
1 JARRETT WHITE RD |
City | TAMC |
State | HI |
Zip Code | 96859-5001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548268188 | Millard Dalton Brown IIi | Psychiatry & Neurology | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2005-07-08 |
1801092689 | Susanna Naomi Holt | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-27 |
1104023712 | Phuoc T Nguyen | General Practice | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-27 |
1205032075 | David James Peterson | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-26 |
1366648685 | Charles Tri Nguyen | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-24 |
1194920546 | Valerie Lopes Pires Edmonds | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-17 |
1568667970 | Jordanna M Hostler | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-15 |
1336343987 | Eric Michael Swanson | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-14 |
1083818595 | Michael Emil Stoudmire | General Practice | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-11 |
1700080231 | Christina B Rumayor | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
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Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861694564 | Christopher D. Tan | Pharmacist | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2007-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649721994 | Jarred B Prudencio | Pharmacist | 45 Mohouli St Ste 101, Hilo, HI 96720-7210 | 2016-10-21 |
1023367695 | Blain Hisami Yoshinobu | Pharmacist | 520 Lunalilo Home Rd Unit 328, Honolulu, HI 96825-1714 | 2012-08-29 |
1528391778 | Justin Kiyoshi Yoshida | Pharmacist | Us Army Health Clinic - Schofield Barracks, Pharmacy Service Bldg 676, Schofield Barracks, HI 96857-5460 | 2009-09-04 |
1760638076 | Kathy Cazares | Pharmacist | 98-500 Lulu St, Aiea, HI 96701-2165 | 2008-08-18 |
1902856636 | Lawrence Wung Kee Chinn | Pharmacist | 459 Patterson Rd # 119, Honolulu, HI 96819-1522 | 2006-05-11 |
1811999808 | Ryan Tatsumoto | Pharmacist | Bldg 682 Rm 236, Usahc - Schofield Barracks, Schofield Barracks, HI 96857 | 2005-08-10 |
1366053084 | Jane Choi | Pharmacist | 615 Piikoi St Ste 105, Honolulu, HI 96814-3139 | 2020-08-14 |
1295355956 | Sarah Horng | Pharmacist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-04-23 |
1407482664 | Lehua Kay | Pharmacist | 45-710 Keaahala Rd, Kaneohe, HI 96744-3597 | 2020-03-19 |
1902452840 | Grace Marie Gomes | Pharmacist | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2019-08-15 |
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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.