Healthcare Provider Details

I. General information

NPI: 1013812296
Provider Name (Legal Business Name): ERIN JADE CABANTING DEVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 FARRINGTON HWY UNIT 300
KAPOLEI HI
96707-2002
US

IV. Provider business mailing address

590 FARRINGTON HWY UNIT 300
KAPOLEI HI
96707-2002
US

V. Phone/Fax

Practice location:
  • Phone: 808-674-0269
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH-5297
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: