Healthcare Provider Details

I. General information

NPI: 1912519570
Provider Name (Legal Business Name): ALVIN CHEUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3375 KOAPAKA ST STE H435
HONOLULU HI
96819-1870
US

IV. Provider business mailing address

3375 KOAPAKA ST STE H435
HONOLULU HI
96819-1870
US

V. Phone/Fax

Practice location:
  • Phone: 808-832-8232
  • Fax:
Mailing address:
  • Phone: 808-832-8232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.302910
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: