IAOMAI 4 LLC (NPI# 1053899955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053899955 |
| Entity Type | Organization |
| Organization Name | IAOMAI 4 LLC |
| Other Organization Name | LIFEWAY PHARMACY (KOLOA) |
| Practice Address |
5330 Koloa Rd Ste 2 Koloa HI 96756-8624 |
| Mailing Address |
Po Box 3753 Lihue HI 96766-6753 |
| Practice Telephone | 8087427512 |
| Practice Fax Number | 8087427070 |
| Mailing Telephone | 8086391891 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | LIANNE HIROKO MALAPIT (MEMBER/OWNER) |
| Authorized Official Telephone | 8086391891 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHY-806 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 688294 | 05 | |
| HI | PHARMACY LICENSE | PHY-806 | 01 |
| Other Name | Type Code |
|---|---|
| Lifeway Pharmacy (Koloa) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215217401 | Iaomai 4 LLC | Pharmacy | 5330 Koloa Rd Ste 2, Koloa, HI 96756-8624 | 2011-08-19 |
| Street Address |
5330 KOLOA RD STE 2 |
| City | KOLOA |
| State | HI |
| Zip Code | 96756-8624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215217401 | Iaomai 4 LLC | Pharmacy | 5330 Koloa Rd Ste 2, Koloa, HI 96756-8624 | 2011-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005712 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikaumaka St, Ste B-201, Koloa, HI 96756 | 2018-12-21 |
| 1073085528 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikuamaka St, Koloa, HI 96756 | 2018-12-21 |
| 1285054965 | Leia Makaneole | Massage Therapist | 2555a Ala Kinoiki Rd., Koloa, HI 96756 | 2014-04-22 |
| 1043549637 | Shanti Kay Manzano | Psychologist | 5476 Koloa Road, 2f, Koloa, HI 96756 | 2009-12-10 |
| 1467627075 | Margaret Bubon Smith | Counselor | 4055 Aka Rd, Koloa, HI 96756 | 2008-04-24 |
| 1376755330 | Holly Marie Poag | Emergency Medicine | 2829 Ala Kalanikaumaka St., Ste.b201, Koloa, HI 96756 | 2007-05-04 |
| 1871611558 | Kauai Medical Clinic | Durable Medical Equipment & Medical Supplies | Kauai Medical Clinic - Koloa Clinic, 5371 Koloa Rd, Koloa, HI 96756 | 2007-03-27 |
| 1548330657 | Joseph M. Murray | Family Medicine | 5371 Koloa Rd, Koloa, HI 96756 | 2006-11-08 |
| 1164413696 | Daniel S Choi | Anesthesiology | 3176 Poipu Rd, Koloa, HI 96756 | 2005-11-03 |
| 1801980339 | Edward Franklin De Deo | Chiropractor | 5470 Koloa Rd 2d, Koloa, HI 96756-0388 | 2006-10-02 |
| Find all providers in zip 96756 | ||||
| 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] |
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| 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.