=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134006992
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TONI ANN MARIE LUNA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/21/2025
-----------------------------------------------------
Last Update Date | 08/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1130 KUALA ST
-----------------------------------------------------
City | PEARL CITY
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96782-2959
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-456-5302
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 99-358 UHALOA ST
-----------------------------------------------------
City | AIEA
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96701-3561
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-358-7570
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | PH-5161
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------