OUTRIGGER SHOPS LTD


Address: 2330 Kuhio Ave, Honolulu, HI 96815-2951
Phone: 8089234466

OUTRIGGER SHOPS LTD (NPI# 1104962463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104962463
Entity Type Organization
Organization Name OUTRIGGER SHOPS LTD
Other Organization Name KUHIO PHARMACY
Practice Address 2330 Kuhio Ave
Honolulu
HI 96815-2951
Mailing Address 2330 Kuhio Ave
Mezzanine Floor
Honolulu
HI 96815-2951
Practice Telephone 8089234466
Practice Fax Number 8089221104
Mailing Telephone 8089234466
Mailing Fax Number 8089221104
Enumeration Date 2007-01-30
Last Update Date 2020-08-22
Authorized Official Name MR. STEVEN G NORSTROM (PRESIDENT OWNER OF THE COMPANY)
Authorized Official Telephone 8089232057
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 333600000X Pharmacy PHY200 HI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
HI 08186101 05
HI HMSA P0007778 01

Other Provider/Organization Names

Other Name Type Code
Kuhio Pharmacy Doing Business As Name - Organization

Office Location

Street Address 2330 KUHIO AVE
City HONOLULU
State HI
Zip Code 96815-2951

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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

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1508097494 Dth2 Investment, LLC Pharmacy 2875 Koapaka St Ste A, Honolulu, HI 96819-1987 2009-07-27
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Competitor

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City HONOLULU
Zip Code 96815

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Dataset Information

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.

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