PUNA PLANTATION HAWAII, LTD. (NPI# 1518057017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518057017 |
| Entity Type | Organization |
| Organization Name | PUNA PLANTATION HAWAII, LTD. |
| Other Organization Name | KTA KEAUHOU PHARMACY |
| Practice Address |
78-6831 Alii Dr Kailua Kona HI 96740-2495 |
| Practice Telephone | 8083222511 |
| Practice Fax Number | 8083221832 |
| Mailing Telephone | 8083222511 |
| Mailing Fax Number | 8083221832 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | MRS. KERRI C OKAMURA (DIRECTOR OF PHARMACY OPERATIONS) |
| Authorized Official Telephone | 8089594575 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY349 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | MEDICARE MASS IMMUNIZ ROS | 102639 | 01 |
| HI | 08387401 | 05 |
| Other Name | Type Code |
|---|---|
| KTA Keauhou Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821188327 | Puna Plantation Hawaii, Ltd. | Pharmacy | 50 E Puainako St, Hilo, HI 96720-5242 | 2006-10-13 |
| 1902956360 | Puna Plantation Hawaii, Ltd. | Durable Medical Equipment & Medical Supplies | 78-6831 Alii Dr, Kailua Kona, HI 96740-2495 | 2007-01-10 |
| 1285784645 | Puna Plantation Hawaii, Ltd. | Durable Medical Equipment & Medical Supplies | 65-1158 Mamalahoa Hwy, Kamuela, HI 96743-8442 | 2007-01-10 |
| 1750455986 | Puna Plantation Hawaii, Ltd. | Durable Medical Equipment & Medical Supplies | 50 E Puainako St, Hilo, HI 96720-5242 | 2006-11-20 |
| 1134219645 | Puna Plantation Hawaii, Ltd. | Pharmacy | 65-1158 Mamalahoa Hwy, Kamuela, HI 96743-8442 | 2006-10-13 |
| Street Address |
78-6831 ALII DR |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134160187 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 78-6831 Alii Dr, Suite 336, Kailua Kona, HI 96740-2495 | 2006-06-09 |
| 1730744640 | Jaime Angelyn Westlund | Registered Nurse | 78-6831 Alii Dr, Kailua Kona, HI 96740-2495 | 2019-05-06 |
| 1396237855 | Katelyn Mary Lapak | Physical Therapist | 78-6831 Alii Dr, Kailua Kona, HI 96740-2495 | 2018-05-31 |
| 1902340722 | Jaime Granchelli | Physical Therapist | 78-6831 Alii Dr, Kailua Kona, HI 96740-2495 | 2016-12-13 |
| 1972927119 | Therapydia, Inc. | Clinic/Center | 78-6831 Alii Dr, #420, Kailua Kona, HI 96740-2495 | 2014-02-07 |
| 1548693518 | Tyler J Patrick | Physical Therapist | 78-6831 Alii Dr, #420, Kailua Kona, HI 96740-2495 | 2013-08-14 |
| 1003016171 | Longs Drug Stores California Inc. | Durable Medical Equipment & Medical Supplies | 78-6831 Alii Dr, Ste H, Kailua Kona, HI 96740-2495 | 2007-07-18 |
| 1497801773 | Peggy J Basinga | Pharmacy Technician | 78-6831 Alii Dr, Kailua Kona, HI 96740-2495 | 2007-01-26 |
| 1902956360 | Puna Plantation Hawaii, Ltd. | Durable Medical Equipment & Medical Supplies | 78-6831 Alii Dr, Kailua Kona, HI 96740-2495 | 2007-01-10 |
| 1679598759 | Harnath Christopher Holmes | Obstetrics & Gynecology | 78-6831 Alii Dr, Suite 422, Kailua Kona, HI 96740-2495 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| 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 |
|---|---|---|---|---|
| 1780734376 | Mina Pharmacy Ltc, LLC | Pharmacy | 75-5995 Kuakini Hwy, #513a, Kailua Kona, HI 96740-2124 | 2007-01-12 |
| 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 | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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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.