MIKAELA JAZMIN PECSON SAMPAYAN (NPI# 1861035230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861035230 |
| Entity Type | Individual |
| Full Name | MIKAELA JAZMIN PECSON SAMPAYAN |
| Practice Address |
3288 Moanalua Rd Honolulu HI 96819-1469 |
| Mailing Address |
1419 Dominis St Apt 602 Honolulu HI 96822-3221 |
| Practice Telephone | 8084327990 |
| Mailing Telephone | 4152971989 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH-4484 | HI | Pharmacy Service Providers |
| Street Address |
3288 MOANALUA RD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556124 | Richard Edward Shields | Pharmacist | 3288 Moanalua Rd, Kaiser Permanente Hawaii, Honolulu, HI 96819 | 2005-05-24 |
| 1629681838 | Beatrice Xiaoying Huang | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-08-26 |
| 1962014274 | Melissa Kobayakawa | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-08-18 |
| 1952910325 | Ashley Mccormick | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-07-30 |
| 1891322863 | Elizabeth Mathew | Physical Therapist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-03-26 |
| 1548893456 | Dominique Lee | Student in an Organized Health Care Education/Training Program | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-02-19 |
| 1598316820 | Ben Korthas | Radiology | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-09-27 |
| 1033764808 | Rebecca Knight | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-08-07 |
| 1275187007 | Chelsea Tasaka | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-07-30 |
| 1386298180 | Diane Cluxton | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1033735097 | Christy Agena | Pharmacist | 500 Ala Moana Blvd Ste 2-200, Honolulu, HI 96813-4993 | 2020-06-24 |
| 1043834807 | Jennifer Seo Nakamura | Pharmacist | 459 Patterson Rd Ste 119, Honolulu, HI 96819-1522 | 2020-06-07 |
| 1053947713 | Kevin Nishina | Pharmacist | 1088 Bishop St Ste 113, Honolulu, HI 96813-3109 | 2020-03-13 |
| 1346870490 | Kimberly Leong | Pharmacist | 459 Patterson Rd # 151, Honolulu, HI 96819-1522 | 2020-01-16 |
| 1336784792 | Stacy Lu | Pharmacist | 3247 Duval St, Honolulu, HI 96815-4123 | 2019-11-08 |
| 1518500859 | Ihilani Haru | Pharmacist | 550 S Beretania St Ste 102, Honolulu, HI 96813-2423 | 2019-10-18 |
| 1285282392 | Jonathan Yim | Pharmacist | 848 Ala Lilikoi St Ste 120, Honolulu, HI 96818-2109 | 2019-09-02 |
| 1447808217 | Cheryl Cheng | Pharmacist | 841 Bishop St Ste 105, Honolulu, HI 96813-3933 | 2019-08-26 |
| 1467942268 | Kara Cachola | Pharmacist | 1029 Kapahulu Ave Ste 303, Honolulu, HI 96816-1332 | 2018-05-16 |
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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.