PAHOA PHARMACY LLC (NPI# 1205381803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205381803 |
| Entity Type | Organization |
| Organization Name | PAHOA PHARMACY LLC |
| Other Organization Name | PAHOA PHARMACY |
| Practice Address |
15-2660 Pahoa Village Rd Pahoa HI 96778-6720 |
| Mailing Address |
Po Box 11 15-2660 Pahoa Village Road Suite 205 Pahoa HI 96778-0011 |
| Practice Telephone | 8089650601 |
| Practice Fax Number | 8089650603 |
| Mailing Telephone | 8089650601 |
| Mailing Fax Number | 8089650603 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | ISMAIL ABDOLAHI (OWNER, PIC, AO) |
| Authorized Official Telephone | 8084948960 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY-909 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2166589 | 01 |
| Other Name | Type Code |
|---|---|
| Pahoa Pharmacy | Doing Business As Name - Organization |
| Street Address |
15-2660 PAHOA VILLAGE RD |
| City | PAHOA |
| State | HI |
| Zip Code | 96778-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541846 | Allison Remillard | Behavior Technician | 4610 Cinder Road, Pahoa, HI 96778 | 2020-03-02 |
| 1356971451 | Deidre Temukisa Esteron | Licensed Vocational Nurse | 14-3547 Lehua Rd., Pahoa, HI 96778 | 2020-01-17 |
| 1629623848 | Germelina Ganiron | Registered Nurse | 16-1959 34th Avenue, Pahoa, HI 96778 | 2019-08-05 |
| 1780241414 | Elizabeth Barnett | Massage Therapist | 13-5701 Kalapana-kapoho Rd., Pahoa, HI 96778 | 2019-05-29 |
| 1831661883 | Janelle Mizuguchi | Massage Therapist | 16 2055 Jewel Drive, #81587, Pahoa, HI 96778 | 2018-12-31 |
| 1871063008 | Sylvie Gendron | Massage Therapist | 12-7088 Kaiwihala, Pahoa, HI 96778 | 2018-11-30 |
| 1023587698 | Jarica Barr | Massage Therapist | 15-3039 Pahoa Villiage Rd, Pahoa, HI 96778 | 2018-11-13 |
| 1124595574 | Andrew Vispo | Marriage & Family Therapist | 14 - 803 Seaview Rd, Pahoa, HI 96778 | 2018-10-24 |
| 1154820538 | Kala & Associates, Inc. | Counselor | 15-3039 Pahoa Village Rd., Pahoa, HI 96778 | 2018-02-12 |
| 1407369879 | Sandra Lee Osborne | Counselor | 14-803 Seaview Road, Nanawale Estates, Pahoa, HI 96778 | 2017-11-08 |
| Find all providers in zip 96778 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1801965389 | Pharm Neut Inc | Pharmacy | #1 Government Rd, Pahoa, HI 96778-1433 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098701 | Queens Development Corporation & Subsidiaries | Pharmacy | 91-2139 Fort Weaver Rd Ste 106, Ewa Beach, HI 96706-3608 | 2019-05-09 |
| 1568958536 | 5 Minute Pharmacy Nanakuli LLC | Pharmacy | 87-2070 Farrington Hwy Ste K, Waianae, HI 96792-3756 | 2018-07-02 |
| 1356835730 | Princeville Pharmacy and Health Emporium LLC | Pharmacy | 4488 Hanalei Plantation Road, Suite 100, Princeville, HI 96722 | 2018-06-19 |
| 1851801336 | Kainaliu Pharmacy L.l.c | Pharmacy | 79-7393 Mamalahoa Hwy Ste 3, Kealakekua, HI 96750-7928 | 2017-10-10 |
| 1346623394 | Value Drug Ltd. | Pharmacy | 3375 Koapaka St Ste G320, Honolulu, HI 96819-1898 | 2015-07-08 |
| 1356741904 | Walgreen Co | Pharmacy | 116 S Hotel St Ste 101, Honolulu, HI 96813-3129 | 2014-09-02 |
| 1285041319 | Wailea Pharmacy LLC | Pharmacy | 34 Wailea Gateway Pl Ste A103, Wailea, HI 96753-6525 | 2014-07-21 |
| 1811318926 | Mina Corporation | Pharmacy | 599 Farrington Hwy Ste 101, Kapolei, HI 96707-2028 | 2013-12-17 |
| 1982035879 | Nineteen Fifty-one Partners, Inc. | Pharmacy | 74-5563 Kuakini Hwy, Suite 129, Kailua-kona, HI 96740 | 2013-12-03 |
| 1245674928 | Walgreen Co | Pharmacy | 91-1081 Keaunui Dr, Ewa Beach, HI 96706-6351 | 2013-04-24 |
| 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.