Da Hae Kwon
NPI 1255000220ActiveIndividual· Pharmacist· Tamuning, GU
Pharmacist in Tamuning, Guam, licensed in GU and VA, with an NPI issued in September 2021.
Overview
| NPI | 1255000220 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 12, 2021 |
| Last updated in NPPES | Oct 14, 2022 |
| Certified by provider | Sep 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | PH0505 | GU |
| Pharmacist | 183500000X | 0202219760 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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