PACIFIC HEALTH MANAGEMENT LLC (NPI# 1295827111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295827111 |
| Entity Type | Organization |
| Organization Name | PACIFIC HEALTH MANAGEMENT LLC |
| Other Organization Name | LIHUE PROFESSIONAL PHARMACY |
| Practice Address |
3-3420b Kuhio Hwy Ste 101 Lihue HI 96766-1096 |
| Mailing Address |
4490 Kolopa St Suite B Lihue HI 96766-2027 |
| Practice Telephone | 8082453800 |
| Practice Fax Number | 8082453866 |
| Mailing Telephone | 8082453800 |
| Mailing Fax Number | 8082453866 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | KEVIN GLICK (PRESIDENT) |
| Authorized Official Telephone | 8082469100 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY675 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2019444 | 01 | |
| HI | 9525570 | 05 |
| Other Name | Type Code |
|---|---|
| LIHUE PROFESSIONAL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245883230 | Pacific Health Management LLC | Pharmacy | 3-3420b Kuhio Hwy Ste 101, Lihue, HI 96766-1096 | 2019-07-19 |
| Street Address |
3-3420B KUHIO HWY STE 101 |
| City | LIHUE |
| State | HI |
| Zip Code | 96766-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989747 | Amber Denise Leach | Hearing Instrument Specialist | 4405 Kukei Grove St Suite 101, Lihue, HI 96766 | 2019-05-30 |
| 1730746264 | Maria Celeste I Papa | Home Health | 2980 Ewalu St., Unit 1, Lihue, HI 96766 | 2019-05-20 |
| 1588141287 | Dr. Joseph Schafermeyer LLC. | Dentist | 4381 Kukui Grove St., Ste. 2, Lihue, HI 96766 | 2018-07-25 |
| 1497232466 | Island Hand Therapy Clinic LLC | Occupational Therapist | 3175 Elua St Ste A, Lihue, HI 96766 | 2018-07-23 |
| 1245717578 | Robert M. Long, Dds. Inc. | Dentist | 4359 Kukui Grove Street, Suite 104, Lihue, HI 96766 | 2018-07-19 |
| 1922599547 | Annette Marisa Martinez | Behavior Technician | 3-3367 Kuhio Hwy # 211, Lihue, HI 96766 | 2018-05-21 |
| 1053822510 | Christopher Michael Wilson | Behavior Technician | 3-3367 Kuhio Hwy Ste 204, Lihue, HI 96766 | 2017-10-23 |
| 1740706308 | Kaumualii Medical Supplies | Durable Medical Equipment & Medical Supplies | 3-2600 Kaumualii Hwy 1300 #114, Lihue, HI 96766 | 2017-08-16 |
| 1629598925 | Araceli Rapozo | Counselor | 4370-kukui Grove St Suite 3-211, Lihue, HI 96766 | 2017-06-27 |
| 1629504725 | Chantelle Kane | Behavioral Analyst | 3122 Kuhio Hwy, Lihue, HI 96766 | 2017-05-10 |
| Find all providers in zip 96766 | ||||
| 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 |
|---|---|---|---|---|
| 1245399617 | Costco Wholesale Corp | Pharmacy | 4300 Nuhou St, Lihue, HI 96766 | 2006-12-08 |
| 1356994834 | Lihue Pharmacy Inc | Pharmacy | 4491 Kolopa St Ste A, Lihue, HI 96766-2021 | 2019-07-23 |
| 1245883230 | Pacific Health Management LLC | Pharmacy | 3-3420b Kuhio Hwy Ste 101, Lihue, HI 96766-1096 | 2019-07-19 |
| 1376957431 | Wilcox Memorial Hospital Outpatient Pharmacy | Pharmacy | 3-3420 Kuhio Hwy, Lihue, HI 96766-1042 | 2014-06-17 |
| 1033412895 | Kapa'a Pharmacy, LLC | Pharmacy | 3216 Elua St, Lihue, HI 96766-1213 | 2010-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098701 | Queens Development Corporation & Subsidiaries | Pharmacy | 91-2139 Fort Weaver Rd Ste 106, Ewa Beach, HI 96706-3608 | 2019-05-09 |
| 1568958536 | 5 Minute Pharmacy Nanakuli LLC | Pharmacy | 87-2070 Farrington Hwy Ste K, Waianae, HI 96792-3756 | 2018-07-02 |
| 1356835730 | Princeville Pharmacy and Health Emporium LLC | Pharmacy | 4488 Hanalei Plantation Road, Suite 100, Princeville, HI 96722 | 2018-06-19 |
| 1851801336 | Kainaliu Pharmacy L.l.c | Pharmacy | 79-7393 Mamalahoa Hwy Ste 3, Kealakekua, HI 96750-7928 | 2017-10-10 |
| 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 |
| 1285041319 | Wailea Pharmacy LLC | Pharmacy | 34 Wailea Gateway Pl Ste A103, Wailea, HI 96753-6525 | 2014-07-21 |
| 1811318926 | Mina Corporation | Pharmacy | 599 Farrington Hwy Ste 101, Kapolei, HI 96707-2028 | 2013-12-17 |
| 1982035879 | Nineteen Fifty-one Partners, Inc. | Pharmacy | 74-5563 Kuakini Hwy, Suite 129, Kailua-kona, HI 96740 | 2013-12-03 |
| 1245674928 | Walgreen Co | Pharmacy | 91-1081 Keaunui Dr, Ewa Beach, HI 96706-6351 | 2013-04-24 |
| 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.