WALLACE-JONES, INC (NPI# 1851395289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851395289 |
| Entity Type | Organization |
| Organization Name | WALLACE-JONES, INC |
| Other Organization Name | HAIKU PHARMACY |
| Practice Address |
810 Haiku Rd Ste 127 Haiku HI 96708-4800 |
| Practice Telephone | 8085757522 |
| Practice Fax Number | 8085752198 |
| Mailing Telephone | 8085757522 |
| Mailing Fax Number | 8085752198 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2008-02-13 |
| Authorized Official Name | MR. THOMAS PAUL JONES (PRESIDENT, PHARMACIST) |
| Authorized Official Telephone | 8085757522 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHY-567 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 07918801 | 05 |
| Other Name | Type Code |
|---|---|
| Haiku Pharmacy | Doing Business As Name - Organization |
| Street Address |
810 HAIKU RD STE 127 |
| City | HAIKU |
| State | HI |
| Zip Code | 96708-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154128 | Andrew Rebd | Chiropractor | 810 Haiku Rd, Haiku, HI 96708-4803 | 2020-11-07 |
| 1336770270 | Taysia K Vanzandt | Behavioral Analyst | 810 Haiku Rd, Haiku, HI 96708-4803 | 2020-01-29 |
| 1366081077 | Christina Cline | Licensed Practical Nurse | 810 Haiku Rd, Haiku, HI 96708-4803 | 2019-12-27 |
| 1851729545 | Moxie Dubois | Massage Therapist | 810 Haiku Rd, #127, Haiku, HI 96708-4803 | 2013-10-16 |
| 1174852578 | Kourtney Jean Knox | Chiropractor | 810 Haiku Rd, Suite 303, Haiku, HI 96708-4803 | 2009-12-14 |
| 1073703823 | Thomas Paul Jones | Pharmacist | 810 Haiku Rd, #127, Haiku, HI 96708-4803 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170080 | Karise Hallsten | Behavior Technician | 187 Auwaha St., Haiku, HI 96708 | 2020-09-29 |
| 1487125183 | Sidney Lewis | Massage Therapist | 460 Kauhikoa Rd, Haiku, HI 96708 | 2018-12-07 |
| 1861985707 | Ailaun Seto | Physical Therapist | 55 Palulu Way, Haiku, HI 96708 | 2018-06-13 |
| 1669856050 | Jomarie L Tyrrell | Marriage & Family Therapist | 810 Kokomo Rd., Ste 140, Haiku, HI 96708 | 2015-07-15 |
| 1871901785 | Stacy Jackel | Massage Therapist | 35 Kahope St, Haiku, HI 96708 | 2014-07-24 |
| 1407280035 | Joel Robert Schanker | Counselor | 145 Mokupapa Rd, Haiku, HI 96708 | 2013-08-30 |
| 1992073324 | Emily Katherine Loren | Naturopath | 29 Door of Faith Rd, Haiku, HI 96708 | 2011-12-13 |
| 1225154909 | Wendy Stroh Ruppenthal | Acupuncturist | 212 Kulolio Pl, Haiku, HI 96708 | 2007-03-22 |
| 1184781809 | Anna Kim | Chiropractor | 3217 Luahine Place, Haiku, HI 96708 | 2007-01-02 |
| 1053472472 | Michael John Mcdonald | General Practice | 810 Haiku Road, Suite 150, Haiku, HI 96708 | 2006-12-12 |
| Find all providers in zip 96708 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1467070151 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 89-102 Farrington Hwy Ste 3000, Waianae, HI 96792-4101 | 2020-07-08 |
| 1831745595 | 5 Minute Pharmacy Pearl City LLC | Pharmacy | 98-1247 Kaahumanu St Ste 220, Aiea, HI 96701-5310 | 2019-08-16 |
| 1881160901 | Hawaii-rx LLC | Pharmacy | 1150 S King St Ste 1105, Honolulu, HI 96814-1954 | 2018-10-16 |
| 1205381803 | Pahoa Pharmacy LLC | Pharmacy | 15-2660 Pahoa Village Rd, Pahoa, HI 96778-6720 | 2016-08-24 |
| 1396197182 | Brian A Carter Inc | Pharmacy | 1-3845 Kaumualii Highway, Suite B, Hanapepe, HI 96716-0526 | 2016-07-06 |
| 1992160592 | 5 Minute Pharmacy Kkv LLC | Pharmacy | 2229 N School St Ste 101, Honolulu, HI 96819-2588 | 2015-12-23 |
| 1881068377 | Kaiser Foundation Health Plan Inc | Pharmacy | 4366 Kukui Grove St Ste 101, Kaiser Lihue Pharmacy, Lihue, HI 96766-2006 | 2015-11-20 |
| 1104294297 | Brian A Carter Inc | Pharmacy | 2436 Kaumualii Highway, Kalaheo, HI 96741 | 2015-09-08 |
| 1013305457 | Medipharm Pharmacy LLC | Pharmacy | 891 Ululani St Ste 113, Hilo, HI 96720-3982 | 2015-01-08 |
| 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.