MEDIPHARM PHARMACY LLC (NPI# 1013305457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013305457 |
| Entity Type | Organization |
| Organization Name | MEDIPHARM PHARMACY LLC |
| Other Organization Name | MEDIPHARM PHARMACY |
| Practice Address |
891 Ululani St Ste 113 Hilo HI 96720-3982 |
| Mailing Address |
Po Box 38029 Honolulu HI 96837-1029 |
| Practice Telephone | 8089699163 |
| Practice Fax Number | 8089699263 |
| Mailing Telephone | 8085619647 |
| Mailing Fax Number | 8085237088 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | SCOTT DAHLEM (OFFICE MANAGER) |
| Authorized Official Telephone | 8085237088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY870 | HI | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2149431 | 01 | |
| HI | 539116 | 05 |
| Other Name | Type Code |
|---|---|
| Medipharm Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912024209 | Medipharm Pharmacy LLC | Pharmacy | 875 Waimanu St, Ste 600, Honolulu, HI 96813-5248 | 2007-03-23 |
| Street Address |
891 ULULANI ST STE 113 |
| City | HILO |
| State | HI |
| Zip Code | 96720-3982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770750911 | Mina Pharmacy Ltc, LLC | Pharmacy | 1251 Kilauea Ave, #190c-1, Hilo, HI 96720-8509 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588050983 | Rainbow Pharmacy, LLC | Pharmacy | 431 Seventh St, Lanai City, HI 96763 | 2015-04-13 |
| 1740684604 | Kailua Family Pharmacy LLC | Pharmacy | 1090 Keolu Dr Ste 112113, Kailua, HI 96734-3871 | 2014-10-21 |
| 1780660191 | Pharmacy Partners Hawaii LLC | Pharmacy | 3375 Koapaka Street, Suite F251, Honolulu, HI 96819-1898 | 2005-12-16 |
| 1295372613 | Foodland Super Market Limited | Pharmacy | 108 Hekili St, Kailua, HI 96734-2848 | 2019-12-04 |
| 1104463777 | Don Quijote (usa) Co., Ltd. | Pharmacy | 94-144 Farrington Hwy, Waipahu, HI 96797-1918 | 2019-12-03 |
| 1053899955 | Iaomai 4 LLC | Pharmacy | 5330 Koloa Rd Ste 2, Koloa, HI 96756-8624 | 2018-08-02 |
| 1962770578 | 5 Minute Pharmacy Ltc Kalihi LLC | Pharmacy | 1824 Dillingham Blvd, Suite # C, Honolulu, HI 96819-4019 | 2011-12-09 |
| 1730360934 | Kahuku Medical Center | Pharmacy | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2007-11-16 |
| 1255453676 | Mina Pharmacy Ltc, LLC | Pharmacy | 4510 Salt Lake Blvd, #b7-a, Honolulu, HI 96818-3171 | 2007-04-05 |
| 1427181973 | Pharmacy Partners Hawaii, LLC | Pharmacy | 3375 Koapaka St, Suite G320, Honolulu, HI 96819-1800 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.