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1295069284 NPI number — RENEE KWOCK PHARMD, BCOP

NPI Number: 1295069284
Health Care Provider/Practitioner: RENEE KWOCK PHARMD, BCOP

Information about “1295069284” NPI (RENEE KWOCK PHARMD, BCOP) exists in 1295069284 in HTML format HTML  |  1295069284 in plain Text format TXT  |  1295069284 in PDF (Portable Document Format) PDF  |  1295069284 in an XML format XML  formats.

NPI Number : 1295069284 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295069284",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KWOCK",
    "FirstName": "RENEE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD, BCOP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "642 ULUKAHIKI ST STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KAILUA",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96734-4439",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "642 ULUKAHIKI ST STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KAILUA",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96734-4439",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-263-5024",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/24/2009",
    "LastUpdateDate": "10/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": "6658",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "RPH-70097",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1835X0200X",
          "TaxonomyName": "Oncology Pharmacist",
          "LicenseNumber": "PH-3273",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1835P0018X",
          "TaxonomyName": "Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
          "LicenseNumber": "PH-3273",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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