Provider Demographics
NPI:1891983649
Name:BARONI, WHITNEY CAROLE (RPH)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:CAROLE
Last Name:BARONI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-1480 MOANIANI ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-4632
Mailing Address - Country:US
Mailing Address - Phone:808-432-3150
Mailing Address - Fax:
Practice Address - Street 1:94-1480 MOANIANI ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-4632
Practice Address - Country:US
Practice Address - Phone:808-432-3150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-2672183500000X
TX40513183500000X
FLPS37273183500000X
OK13348183500000X
MA25156183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIPH-2672OtherHAWAII STATE LICENSE
FLPS37273OtherFL DEPT OF HEALTH
MA25156OtherBOARD OF REG IN PHARMACY
OK13348OtherSTATE BOARD OF PHARMACY
TX40513OtherSTATE BOARD OF PHARMACY