Provider Demographics
NPI:1720365612
Name:JONES, NATASHA A (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:NATASHA
Middle Name:A
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4450 KAPOLEI PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1889
Mailing Address - Country:US
Mailing Address - Phone:808-457-3680
Mailing Address - Fax:808-457-3680
Practice Address - Street 1:4450 KAPOLEI PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1889
Practice Address - Country:US
Practice Address - Phone:808-457-3680
Practice Address - Fax:808-457-3680
Is Sole Proprietor?:No
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3128183500000X
CO18859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist