NAVAL HEALTH CLINIC HAWAII (NPI# 1902084577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902084577 |
| Entity Type | Organization |
| Organization Name | NAVAL HEALTH CLINIC HAWAII |
| Practice Address |
Wahaiwa Brmax Eastpac 500 Center St Bldg 22 Wahiawa HI 96786 |
| Mailing Address |
Tripler Army Medical Center Pad (mchk-pat-t) 1 Jarrett White Rd Honolulu HI 96859-5001 |
| Practice Telephone | 8084731880 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HEALTH CLINIC HAWAII |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2019346 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1134397037 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Camp Smith Medical Naval Annex, Camp Smith, HI 96861 | 2008-02-13 |
| 1083713606 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Bldg 1407, Pearl Harbor, HI 96860-4908 | 2006-09-21 |
| 1891894416 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | D Street Bldg 3089, Kaneohe, HI 96863-3066 | 2006-09-21 |
| 1558773069 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Naval Health Clinic, Bldg 3089, D Street, Kaneohe Bay, HI 96744 | 2014-06-02 |
| 1033393327 | Naval Health Clinic Hawaii | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2007-12-21 |
| 1457541047 | Naval Health Clinic Hawaii | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2007-07-30 |
| 1568686368 | Naval Health Clinic Hawaii | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2007-04-12 |
| 1700985322 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Sand Island Access Rd Area 4, Honolulu, HI 96819 | 2006-09-21 |
| 1205899879 | Naval Health Clinic Hawaii | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2006-04-06 |
| Street Address |
WAHAIWA BRMAX EASTPAC 500 CENTER ST BLDG 22 |
| City | WAHIAWA |
| State | HI |
| Zip Code | 96786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801421870 | Macy Tiatti Coleman | Student in an Organized Health Care Education/Training Program | 683 Waianae Ave, Schofield Barracks, HI 96786 | 2020-03-10 |
| 1063078467 | Jacqueline Tommila | Registered Nurse | Wai'anae & Ayres Ave, Wahiawa, HI 96786 | 2019-05-13 |
| 1578126157 | Shantelle Caliboso Bautista | Registered Nurse | Wheeler Army Field, Wahiawa, HI 96786 | 2019-04-18 |
| 1679136246 | Dorinda A Ventura | Licensed Practical Nurse | 1 Wheeler Aaf Wahiawa, Hi 96786, Wahiawa, HI 96786 | 2019-04-18 |
| 1659853950 | Archnaben Patel | Physician Assistant | 3399 Glennan St, Wahiawa, HI 96786 | 2018-09-04 |
| 1245720564 | Zi Xiang Liu | Physician Assistant | 3399 Glennan Street, Schofield Barracks, HI 96786 | 2018-05-11 |
| 1417445503 | Kristine Wong | Occupational Therapist | 1034 Kilani Ave Ste 109, Wahiawa, HI 96786 | 2018-04-25 |
| 1467964528 | Hope Treatment Services | Counselor | 360 California Avenue, Wahiawa, HI 96786 | 2017-10-30 |
| 1881103919 | Testiny K J Mailo | Assistant Behavior Analyst | 1046 Eho Eho Avenue, #326, Wahiawa, HI 96786 | 2017-09-20 |
| 1982121059 | Salvador Mireles Thorn | Physician Assistant | U.S. Army Health Clinic Sb, Building 683, Schofield Barracks, HI 96786 | 2017-08-29 |
| Find all providers in zip 96786 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1134397037 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Camp Smith Medical Naval Annex, Camp Smith, HI 96861 | 2008-02-13 |
| 1558460238 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857-5460 | 2006-09-21 |
| 1083713606 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Bldg 1407, Pearl Harbor, HI 96860-4908 | 2006-09-21 |
| 1891894416 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | D Street Bldg 3089, Kaneohe, HI 96863-3066 | 2006-09-21 |
| 1427157056 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Sand Island Access Rd Area 4, Honolulu, HI 96819 | 2006-09-21 |
| 1588638167 | Us Air Force 15 Cpts Fmf PC | Military/U.S. Coast Guard Pharmacy | 15th Medical Group Sgsbr, 755 Scott Circle, Honolulu, HI 96853-5399 | 2006-02-13 |
| 1245628056 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 91-1010 Shangrila St Ste 100, Kapolei, HI 96707-2176 | 2014-12-31 |
| 1972919348 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857-5460 | 2014-07-07 |
| 1629482062 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 755 Scott Cir, Hickam Afb, HI 96853-5399 | 2014-06-13 |
| 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.