CTIY PHARMACY KAPAHULU, INC. (NPI# 1861407249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861407249 |
| Entity Type | Organization |
| Organization Name | CTIY PHARMACY KAPAHULU, INC. |
| Other Organization Name | CITY PHARMACY KAPAHULU |
| Practice Address |
750 Palani Ave Honolulu HI 96816-1109 |
| Practice Telephone | 8087391188 |
| Practice Fax Number | 8087356545 |
| Mailing Telephone | 8087391188 |
| Mailing Fax Number | 8087356545 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CARL PHILLIP MUDRICK (PHARMACIST-MANAGER) |
| Authorized Official Telephone | 8087391188 |
| 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 |
PHY515 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 00445401 | 05 |
| Other Name | Type Code |
|---|---|
| City Pharmacy Kapahulu | Doing Business As Name - Organization |
| Street Address |
750 PALANI AVE |
| City | HONOLULU |
| State | HI |
| Zip Code | 96816-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134175011 | Norbert Bernard Wong | Emergency Medicine | 750 Palani Ave, Honolulu, HI 96816-1109 | 2006-05-25 |
| 1710253281 | Dialysis Newco Inc | Clinic/Center | 750 Palani Ave, Honolulu, HI 96816-1109 | 2012-03-28 |
| 1659570794 | Bio-medical Applications of California, Inc. | Clinic/Center | 750 Palani Ave, Honolulu, HI 96816-1109 | 2007-07-17 |
| 1336164508 | Karla Sue Izuka | Psychologist | 750 Palani Ave, Honolulu, HI 96816-1109 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1184272007 | Gwen Mikasa | Speech-Language Pathologist | Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 | 2019-09-04 |
| 1467009290 | Abigail Hobbs | Occupational Therapist | 475 22nd Ave, Building 302, Rm. 101, Oss, Honolulu, HI 96816 | 2019-08-26 |
| 1588210587 | Mona Ann Hiyoto Akina | Speech-Language Pathologist | 475 2nd Ave., Room 127, Honolulu, HI 96816 | 2019-08-15 |
| 1356996599 | Karen Amanda Kama | Speech-Language Pathologist | Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 | 2019-08-05 |
| 1043864630 | Brittni Holt | Speech-Language Pathologist | 475 22nd Ave Building 302 Room 101, Honoluu, HI 96816 | 2019-07-31 |
| 1376197962 | Mallory Register | Speech-Language Pathologist | 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 | 2019-07-31 |
| 1588144935 | Mihoko Yacavone | Dietitian, Registered | 833 15th Ave, Honolulu, HI 96816 | 2018-08-15 |
| 1760976013 | Orthopaedic Specialists Hawaii LLC | Orthopaedic Surgery | 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 | 2018-06-20 |
| 1790207389 | Richard Todd Robbins Jr. | Behavior Technician | 200 N. Vineyard Blvd. Suite A-600, Honolulu, HI 96816 | 2017-07-14 |
| Find all providers in zip 96816 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1760762561 | 5 Minute Pharmacy Kalihi LLC | Pharmacy | 916 Gulick Ave Ste A, Honolulu, HI 96819-3343 | 2011-08-24 |
| 1801192620 | Outrigger Shops, Ltd. | Pharmacy | 1922 Kalakaua Ave, Honolulu, HI 96815-1854 | 2011-01-27 |
| 1578794905 | Honolulu Compounding Pharmacy Inc | Pharmacy | 2080 S King St Ste 101, Honolulu, HI 96826-2226 | 2009-08-03 |
| 1598901936 | Longs Drug Stores California LLC | Pharmacy | 4380 Lawehana St, Honolulu, HI 96818-3137 | 2009-01-06 |
| 1750500260 | Pillbox Pharmacy | Pharmacy | 1133 11th Ave, Honolulu, HI 96816-2408 | 2007-04-24 |
| 1821123951 | Don Quijote (usa) Co., Ltd. | Pharmacy | 801 Kaheka St, Honolulu, HI 96814-3725 | 2007-02-22 |
| 1518038694 | Corner Pharmacy Corporation | Pharmacy | 2011 Coyne St, Honolulu, HI 96826-1334 | 2006-11-12 |
| 1841382777 | Chinatown Pharmacy | Pharmacy | 70 N Hotel St, Honolulu, HI 96817-5105 | 2006-09-28 |
| Find all providers in HONOLULU | ||||
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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.