MINA PHARMACY LTC, LLC (NPI# 1942350525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942350525 |
| Entity Type | Organization |
| Organization Name | MINA PHARMACY LTC, LLC |
| Other Organization Name | MINA PHARMACY#5 LTC |
| Practice Address |
75-5995 Kuakini Hwy #513a Kailua Kona HI 96740-2124 |
| Mailing Address |
3375 Koapaka Street Suite F245 Honolulu HI 96819-1816 |
| Practice Telephone | 8083291000 |
| Practice Fax Number | 8083291005 |
| Mailing Telephone | 8087384540 |
| Mailing Fax Number | 8086909174 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2011-11-29 |
| Authorized Official Name | MR. ADEL ETINAS (PRESIDENT) |
| Authorized Official Telephone | 8087384540 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHY-686 | HI | Suppliers |
| Other Name | Type Code |
|---|---|
| Mina Pharmacy#5 LTC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770750911 | Mina Pharmacy Ltc, LLC | Pharmacy | 1251 Kilauea Ave, #190c-1, Hilo, HI 96720-8509 | 2008-05-15 |
| 1275709834 | Mina Pharmacy Ltc, LLC | Pharmacy | 1251 Kilauea Ave, #190c, Hilo, HI 96720-8509 | 2008-05-05 |
| 1952424400 | Mina Pharmacy Ltc, LLC | Pharmacy | 1029 Kapahulu Ave, 303, Honolulu, HI 96816 | 2007-04-09 |
| 1255453676 | Mina Pharmacy Ltc, LLC | Pharmacy | 4510 Salt Lake Blvd, #b7-a, Honolulu, HI 96818-3171 | 2007-04-05 |
| 1780734376 | Mina Pharmacy Ltc, LLC | Pharmacy | 75-5995 Kuakini Hwy, #513a, Kailua Kona, HI 96740-2124 | 2007-01-12 |
| Street Address |
75-5995 KUAKINI HWY #513A |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083664064 | Jeffrey Aric Bergsman | Internal Medicine | 75-5995 Kuakini Hwy, Kailua Kona, HI 96740-2144 | 2006-05-11 |
| 1700416765 | Rhonda Leigh Hamilton | Nurse Practitioner | 75-5995 Kuakini Hwy, Kailua Kona, HI 96740-2144 | 2020-01-17 |
| 1184159949 | Donald Joseph Curry | Family Medicine | 75-5995 Kuakini Hwy, Unit 213, Kailua Kona, HI 96740-2144 | 2017-04-28 |
| 1760936363 | Christopher Adam Palacios | Physician Assistant | 75-5995 Kuakini Hwy, #213, Kailua Kona, HI 96740-2144 | 2016-08-11 |
| 1154712149 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 75-5995 Kuakini Hwy, Ste 5b, Kailua Kona, HI 96740-2144 | 2015-02-11 |
| 1144621285 | Transformation Health Network | Clinic/Center | 75-5995 Kuakini Hwy, Suite 213, Kailua Kona, HI 96740-2144 | 2014-09-09 |
| 1386050169 | Alii Bariatric Center | General Practice | 75-5995 Kuakini Hwy, Suite 427, Kailua Kona, HI 96740-2144 | 2014-07-01 |
| 1639438641 | Kirsten Westra | Social Worker | 75-5995 Kuakini Hwy, Suite 126, Kailua Kona, HI 96740-2144 | 2012-05-10 |
| 1588952287 | Big Island Comprehensive Neurological Services, Ltd. | Psychiatry & Neurology | 75-5995 Kuakini Hwy, Ste 445, Kailua Kona, HI 96740-2144 | 2011-07-14 |
| 1932407434 | Gifted Hands Massage Therapy, LLC | Massage Therapist | 75-5995 Kuakini Hwy, Suite 603, Kailua Kona, HI 96740-2144 | 2011-03-08 |
| 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 | 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 |
|---|---|---|---|---|
| 1063522670 | Costco Wholesale Corporation | Pharmacy | 73 5600 Maiau St, Kailua Kona, HI 96740 | 2006-08-30 |
| 1871524926 | K Mart Corp | Pharmacy | 74-5465 Kamakaeha Ave, Kailua Kona, HI 96740-1648 | 2006-07-06 |
| 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 | ||||
| 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.