WAILEA PHARMACY LLC


Address: 34 Wailea Gateway Pl Ste A103, Wailea, HI 96753-6525
Phone: 8088790123

WAILEA PHARMACY LLC (NPI# 1285041319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285041319
Entity Type Organization
Organization Name WAILEA PHARMACY LLC
Other Organization Name WAILEA PHARMACY
Practice Address 34 Wailea Gateway Pl Ste A103
Wailea
HI 96753-6525
Mailing Address 34 Wailea Gateway Pl # A103
Wailea
HI 96753-6525
Practice Telephone 8088790123
Practice Fax Number 8088792345
Mailing Telephone 8088790123
Mailing Fax Number 8088792345
Enumeration Date 2014-07-21
Last Update Date 2016-01-19
Authorized Official Name FARAH MIKHAIL (MEMBER)
Authorized Official Telephone 8089273426
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHY-855 HI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2147004 01

Other Provider/Organization Names

Other Name Type Code
Wailea Pharmacy Doing Business As Name - Organization

Office Location

Street Address 34 WAILEA GATEWAY PL STE A103
City WAILEA
State HI
Zip Code 96753-6525

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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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
1962846063 Puna Plantation Hawaii, Ltd Pharmacy 68-3916 Paniolo Ave, Waikoloa, HI 96738 2013-04-19
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Competitor

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City WAILEA
Zip Code 96753

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Dataset Information

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.

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