Healthcare Provider Details

I. General information

NPI: 1518873116
Provider Name (Legal Business Name): RONALD VINCENT CONDON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 S KING ST
HONOLULU HI
96813-3009
US

IV. Provider business mailing address

888 S KING ST
HONOLULU HI
96813-3009
US

V. Phone/Fax

Practice location:
  • Phone: 808-201-0111
  • Fax: 808-835-9716
Mailing address:
  • Phone: 808-201-0111
  • Fax: 808-835-9716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0206X
TaxonomyCardiology Pharmacist
License Number2766
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: