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NPI Code Detail

MEDICARE: DR. ZACHARY THOMAS JOHNSON

MEDICARE: DR. ZACHARY THOMAS JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness Coach

General Provider Information

NPI Number : 1134062334
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZACHARY THOMAS JOHNSON
Provider Business Mailing Address
First Line : PO BOX 15516
Second Line :
City : HONOLULU
State : HI
Zip : 96830-5516
Country : US
Telephone Number : 808-780-9027
Fax Number :
Provider Business Practice Location Address
First Line : 1301 PUNCHBOWL ST
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2499
Country : US
Telephone Number : 808-691-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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