TRIPLER ARMY MEDICAL CENTER (NPI# 1245628056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245628056 |
| Entity Type | Organization |
| Organization Name | TRIPLER ARMY MEDICAL CENTER |
| Other Organization Name | DOD TRIPLER WARRIOR OHANA EPHCY |
| Practice Address |
91-1010 Shangrila St Ste 100 Kapolei HI 96707-2176 |
| Mailing Address |
Pad Mchk-pat-t 1 Jarrett White Rd Honolulu HI 96859-5001 |
| Practice Telephone | 8084335423 |
| Practice Fax Number | 8086824002 |
| Mailing Telephone | 8084335423 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| 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 | 2149435 | 01 |
| Other Name | Type Code |
|---|---|
| DOD TRIPLER WARRIOR OHANA ePhcy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114230109 | Tripler Army Medical Center | Clinic/Center | 91-1010 Shangrila St, Suite 100, Kapolei, HI 96707-2161 | 2010-07-19 |
| 1538365036 | Tripler Army Medical Center | Clinic/Center | Bldg 660 Mccornack Road, Dental Clinic, Schofield Barracks, HI 96857 | 2007-06-22 |
| 1750599403 | Tripler Army Medical Center | Clinic/Center | Mccornack Rd Bldg 677, Schofield Barracks, HI 96857 | 2007-05-18 |
| 1841408598 | Tripler Army Medical Center | Clinic/Center | Mccornack Rd Bldg 682, Schofield Barracks, HI 96857 | 2007-05-18 |
| 1558460238 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | Bldg 676, Schofield Barracks, HI 96857-5460 | 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 |
| 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 |
| 1902218423 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | 2014-06-02 |
| 1588944821 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 91-1010 Shangrila St Ste 100, Kapolei, HI 96707-2176 | 2011-08-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRIPLER ARMY MEDICAL CENTER | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 |
| Street Address |
91-1010 SHANGRILA ST STE 100 |
| City | KAPOLEI |
| State | HI |
| Zip Code | 96707-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548482623 | Junedale Yuka Nishiyama | Family Medicine | 91-1010 Shangrila St Ste 100, Kapolei, HI 96707-2176 | 2007-05-02 |
| 1588944821 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 91-1010 Shangrila St Ste 100, Kapolei, HI 96707-2176 | 2011-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840578 | Brittany Feiteira | Community Health Worker | Napuakea Waiver Program Service Center, 92-461 Makakilo Drive, Kapolei, HI 96707 | 2019-06-14 |
| 1023537297 | Virgil Tanizaki | Acupuncturist | 2176 Lauwiliwili St Unit 1 Office 12, Kapolei, HI 96707 | 2017-09-19 |
| 1902355886 | Lorelei Bandola | Specialist/Technologist | 91-1180 Midway Rd, Kapolei, HI 96707 | 2016-10-03 |
| 1063867794 | Denna Macanas | Massage Therapist | 599 Farrington Hwy., Ste.#102, Kapolei, HI 96707 | 2016-05-02 |
| 1962888065 | Harumi Redden | Massage Therapist | 1001 Kamokila Blvd, Suite 114, Kapolei, HI 96707 | 2015-07-31 |
| 1851783351 | Leigh Oyler | Physical Therapist | 91-1027 Shangrila Street, Bldg 1867, Kapolei, HI 96707 | 2015-02-21 |
| 1326440207 | Hsiao-ling Shen Hoshino | Dentist | 590 Farrington Hwy Unit 523, Kapolei, HI 96707 | 2014-09-22 |
| 1992131387 | Kaiser Foundation Health Plan, Inc. | Pharmacy | Kaiser Kapolei Pharmacy, 599 Farrington Highway, Kapolei, HI 96707 | 2013-09-18 |
| 1083959993 | Foodland Super Market Limited | Pharmacy | 4850 Kapolei Parkway, Kapolei, HI 96707 | 2012-12-04 |
| 1407108095 | Kristen Pagulayan | Social Worker | 92-7038 Elele St, Kapolei, HI 96707 | 2012-10-08 |
| Find all providers in zip 96707 | ||||
| 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 |
|---|---|---|---|---|
| 1588944821 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 91-1010 Shangrila St Ste 100, Kapolei, HI 96707-2176 | 2011-08-18 |
| 1235436726 | Tripler Army Medical Center | Military/U.S. Coast Guard Pharmacy | 91-1010 Shangrila St, Suite 100, Kapolei, HI 96707-2161 | 2011-02-17 |
| 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 |
| 1902084577 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Wahaiwa Brmax Eastpac, 500 Center St Bldg 22, Wahiawa, HI 96786 | 2008-02-06 |
| 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 |
| 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.