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1619792595 NPI number — MAYSYVELLE SISTOZA CABLAY PHARMD

NPI Number: 1619792595
Health Care Provider/Practitioner: MAYSYVELLE SISTOZA CABLAY PHARMD

Information about “1619792595” NPI (MAYSYVELLE SISTOZA CABLAY PHARMD) exists in 1619792595 in HTML format HTML  |  1619792595 in plain Text format TXT  |  1619792595 in PDF (Portable Document Format) PDF  |  1619792595 in an XML format XML  formats.

NPI Number : 1619792595 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619792595",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CABLAY",
    "FirstName": "MAYSYVELLE",
    "MiddleName": "SISTOZA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SISTOZA",
    "OtherFirstName": "MAYSYVELLE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "94-295 KAHUAPILI ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WAIPAHU",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96797-3521",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-398-0928",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1620 N SCHOOL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HONOLULU",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96817-1844",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-832-8265",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/18/2024",
    "LastUpdateDate": "11/18/2024",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "PH-5007",
        "LicenseNumberStateCode": "HI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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