Provider Demographics
NPI:1508959248
Name:JENKINS, MELISSA YON (PHARMD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:YON
Last Name:JENKINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:YON
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:75-5259 MAMALAHOA HWY APT D2
Mailing Address - Street 2:
Mailing Address - City:HOLUALOA
Mailing Address - State:HI
Mailing Address - Zip Code:96725-9643
Mailing Address - Country:US
Mailing Address - Phone:808-989-2724
Mailing Address - Fax:
Practice Address - Street 1:75-5259 MAMALAHOA HWY APT D2
Practice Address - Street 2:
Practice Address - City:HOLUALOA
Practice Address - State:HI
Practice Address - Zip Code:96725-9643
Practice Address - Country:US
Practice Address - Phone:808-989-2724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIIND-9338911835P2201X
HIPH-2453183500000X
CARPH-53706183500000X
AZS023496183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care