CASTLE MEDICAL CENTER (NPI# 1588631170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588631170 |
| Entity Type | Organization |
| Organization Name | CASTLE MEDICAL CENTER |
| Other Organization Name | ADVENTIST HEALTH CASTLE |
| Practice Address |
642 Ulukahiki St Ste 101 Kailua HI 96734 |
| Mailing Address |
642 Ulukahiki St Ste 101 Kailua HI 96734-4400 |
| Practice Telephone | 8082635060 |
| Practice Fax Number | 8082635065 |
| Mailing Telephone | 8082635060 |
| Mailing Fax Number | 8082635065 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | HEIDAR THORDARSON (FINANCE OFFICER) |
| Authorized Official Telephone | 8082365142 |
| Is Organization Subpart | Y |
| Parent Organization Name | CASTLE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY636 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP (NATIONAL COUNCIL FOR PRESCRIPTION DRUGS PROGRAMS) | 1204370 | 01 | |
| HI | 52187401 | 05 | |
| PK | 2019360 | 01 |
| Other Name | Type Code |
|---|---|
| ADVENTIST HEALTH CASTLE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578948519 | Castle Medical Center | Clinic/Center | 55-510 Kamehameha Hwy Laie, Suite 5, Laie, HI 96762-1119 | 2015-07-20 |
| 1659409266 | Castle Medical Center | Nursing Care | 46-001 Kamehameha Hwy Ste 212, Kaneohe, HI 96744-3732 | 2007-03-02 |
| 1679540264 | Castle Medical Center | Durable Medical Equipment & Medical Supplies | 46 001 Kamehameha Hwy, Suite 108, Kaneohe, HI 96744 | 2006-03-02 |
| 1316937691 | Castle Medical Center | General Acute Care Hospital | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2005-10-26 |
| 1710336011 | Castle Medical Center | Internal Medicine | 30 Aulike St, Suite 501, Kailua, HI 96734-2739 | 2016-06-07 |
| 1902059579 | Castle Medical Center | General Acute Care Hospital | 642 Ulukahiki Street, Kailua, HI 96734-4454 | 2008-10-28 |
| 1497872121 | Castle Medical Center | Durable Medical Equipment & Medical Supplies | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2007-03-26 |
| 1235262114 | Castle Medical Center | Pharmacy | 640 Ulukahiki St, Inpatient Pharmacy, Kailua, HI 96734 | 2007-03-13 |
| 1588792196 | Castle Medical Center | Nursing Care | 46-001 Kamehameha Hwy Ste 212, Kaneohe, HI 96744-3732 | 2007-03-02 |
| 1053397695 | Castle Medical Center | Nurse Anesthetist, Certified Registered | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2005-12-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CASTLE MEDICAL CENTER | 640 Ulukahiki St, Kailua, HI 96734-4454 |
| Street Address |
642 ULUKAHIKI ST STE 101 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445306 | Kore K. Liow | Psychiatry & Neurology | 642 Ulukahiki St, Suite 300, Kailua, HI 96734-4400 | 2005-05-23 |
| 1538512041 | Kailua Ear, Nose and Throat LLC | Specialist | 642 Ulukahiki St, Ste 103, Kailua, HI 96734-4400 | 2016-07-20 |
| 1831548411 | Christina Joy Robbins | Physician Assistant | 642 Ulukahiki St, Suite 104, Kailua, HI 96734-4400 | 2016-06-06 |
| 1578919353 | John M. Nagamine, M.d. Inc | Clinic/Center | 642 Ulukahiki St, Suite 304, Kailua, HI 96734-4400 | 2016-05-10 |
| 1265805303 | Hawaii Pulmonary Health Center, LLC | Internal Medicine | 642 Ulukahiki St, Suite #103, Kailua, HI 96734-4400 | 2015-11-12 |
| 1710392188 | Luisa Lucero | Nurse Practitioner | 642 Ulukahiki St, Ste 209, Kailua, HI 96734-4400 | 2014-06-24 |
| 1083959621 | Alice Deutsch Mendykowski | Nurse Practitioner | 642 Ulukahiki St, Kailua, HI 96734-4400 | 2012-12-08 |
| 1124363981 | Susan S. Hiraoka, Dpm, LLC | Prosthetic/Orthotic Supplier | 642 Ulukahiki St, Suite 207, Kailua, HI 96734-4400 | 2012-12-05 |
| 1346505690 | Michael Y.t. Yee, M.d., Inc. | Specialist | 642 Ulukahiki St, Suite 211, Kailua, HI 96734-4400 | 2012-07-11 |
| 1073811758 | James Panetta, Do, Pllc | Internal Medicine | 642 Ulukahiki St, Suite 302, Kailua, HI 96734-4400 | 2011-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| 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 |
|---|---|---|---|---|
| 1053454959 | Don Quijote (usa) Co., Ltd. | Pharmacy | 345 Hahani St, Kailua, HI 96734-2802 | 2007-02-14 |
| 1245492339 | Caremark LLC | Pharmacy | 970 N Kalaheo Ave, Pali Palms Plaza C 106, Kailua, HI 96734-1866 | 2008-06-30 |
| 1235262114 | Castle Medical Center | Pharmacy | 640 Ulukahiki St, Inpatient Pharmacy, Kailua, HI 96734 | 2007-03-13 |
| 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 |
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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.