KO'OLAULOA HEALTH CENTER (NPI# 1235442849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235442849 |
| Entity Type | Organization |
| Organization Name | KO'OLAULOA HEALTH CENTER |
| Other Organization Name | KO'OLAULOA PHARMACY |
| Practice Address |
56-119 Pualalea St Kahuku HI 96731-2052 |
| Mailing Address |
Po Box 395 Kahuku HI 96731-0395 |
| Practice Telephone | 8082939514 |
| Mailing Telephone | 8082939514 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | TERRENCE H ARATANI (CEO) |
| Authorized Official Telephone | 8087923840 |
| Is Organization Subpart | Y |
| Parent Organization Name | KO'OLAULOA HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PHY788 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 686206 | 05 |
| Other Name | Type Code |
|---|---|
| Ko'olauloa Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063766079 | Ko'olauloa Health Center | Clinic/Center | 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 | 2012-10-30 |
| 1528026952 | Ko'olauloa Health Center | Clinic/Center | 56-119 Pualalea St., Kahuku, HI 96731 | 2006-05-03 |
| 1063833655 | Ko'olauloa Health Center | Clinic/Center | 54-316 Kamehameha Hwy, Hauula, HI 96717 | 2013-12-27 |
| 1821335837 | Ko'olauloa Health Center | Dentist | 56-490 Kamehameha Hwy, Room R104, Kahuku, HI 96731-2200 | 2013-01-10 |
| 1275820201 | Ko'olauloa Health Center | Clinic/Center | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2011-06-28 |
| Street Address |
56-119 PUALALEA ST |
| City | KAHUKU |
| State | HI |
| Zip Code | 96731-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669429239 | North Shore Pharmacy | Pharmacy | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2006-05-28 |
| 1083259782 | Haunani Annie Louis | Nurse Practitioner | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2019-11-17 |
| 1023462090 | Vincent Giani | Family Medicine | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2016-04-15 |
| 1144683012 | Tara Reed | Internal Medicine | 56-119 Pualalea St, Kahuku, HI 96731 | 2016-03-30 |
| 1124486568 | Marcus Steven Angulo | Nurse Practitioner | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2016-01-30 |
| 1013309269 | Helen P Hudson | Counselor | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2015-02-25 |
| 1265775415 | Jude D Sells | Family Medicine | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2013-04-05 |
| 1275884215 | Kylie L Wall | Dietitian, Registered | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2012-10-01 |
| 1003176652 | Janee Namealoha Sells | Family Medicine | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2012-05-16 |
| 1275820201 | Ko'olauloa Health Center | Clinic/Center | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2011-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149405 | Teniiti Taie Burennatu | Counselor | 55-660 Kamehameha Hwy, Kahuku, HI 96731 | 2020-06-23 |
| 1568909109 | Maia Miller | Specialist/Technologist | 46-590 Kamehameha Hwy, Kahuku High School, Kahuku, HI 96731 | 2017-01-20 |
| 1063766079 | Ko'olauloa Health Center | Clinic/Center | 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 | 2012-10-30 |
| 1295097830 | Kerry Saitia Moea'i | Social Worker | 56-395 Huehu St., Kahuku, HI 96731 | 2012-06-11 |
| 1114194073 | Jason Hughes | Internal Medicine | 56-117 Pualalea Street, Kahuku, HI 96731 | 2008-05-09 |
| 1942341318 | Kaiser Foundation Health Plan Inc | Pharmacy | 56 700 Kamehameha Highway, Kahuku, HI 96731 | 2007-02-09 |
| 1659438281 | Carol Francine Green | Social Worker | 56 565 Kamehameha Hwy, Kahuku, HI 96731 | 2007-01-02 |
| 1578508602 | Douglas A Sutherland | Pediatrics | 56 119 Pualalea St, Kahuku, HI 96731 | 2006-06-20 |
| 1528026952 | Ko'olauloa Health Center | Clinic/Center | 56-119 Pualalea St., Kahuku, HI 96731 | 2006-05-03 |
| 1336438126 | Marie Veronica Yagin | Registered Nurse | 56-660 Kamehameha Hwy, Kahuku, HI 96731 | 2011-04-01 |
| Find all providers in zip 96731 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1801430707 | Alan Nagakura | Pharmacy | 667 Kanoelehua Ave, Hilo, HI 96720-4592 | 2019-11-04 |
| 1437689957 | Kalihi-palama Health Center | Pharmacy | 710 N King St, Honolulu, HI 96817-5769 | 2017-06-18 |
| 1114132776 | Straub Clinic & Hospital (lanai Clinic Pharmacy) | Pharmacy | 628 B Seventh St, Lanai City, HI 96763 | 2007-05-14 |
| 1033230420 | Kaiser Foundation Health Plan Inc | Pharmacy | 95 660 Lanikuhani Ave, Mililani, HI 96789 | 2007-04-03 |
| 1740322478 | Kaiser Foundation Health Plan Inc | Pharmacy | 75 184 Hualalia Rd, Kailua-kona, HI 96740 | 2007-02-12 |
| 1114068574 | Kaiser Foundation Health Plan Inc | Pharmacy | 94 1480 Moaniani St, Waipahu, HI 96797 | 2007-02-09 |
| 1366583718 | Kaiser Foundation Health Plan Inc | Pharmacy | 201 Hamakua Dr Bldg B, Kailua, HI 96734-3984 | 2007-02-09 |
| 1780639724 | Kaiser Foundation Health Plan Inc | Pharmacy | 2828 Pa A St, Ste 2400, Honolulu, HI 96819 | 2006-05-24 |
| 1134773344 | Waimanalo Health Center | Pharmacy | 41-1295 Kalanianaole Hwy, Waimanalo, HI 96795 | 2019-07-25 |
| 1215411533 | Pacific Pharmacy Solutions LLC | Pharmacy | 95 Mahalani St Rm 10, Wailuku, HI 96793-2521 | 2018-09-21 |
| 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.