HONOLULU COMPOUNDING PHARMACY INC (NPI# 1578794905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578794905 |
| Entity Type | Organization |
| Organization Name | HONOLULU COMPOUNDING PHARMACY INC |
| Other Organization Name | HONOLULU COMPOUNDING PHARMACY |
| Practice Address |
2080 S King St Ste 101 Honolulu HI 96826-2226 |
| Practice Telephone | 8089793400 |
| Practice Fax Number | 8089793401 |
| Mailing Telephone | 8089793400 |
| Mailing Fax Number | 8089793401 |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-10-06 |
| Authorized Official Name | TAD USHIJIMA (PRESIDENT/SECRETARY) |
| Authorized Official Telephone | 8083756520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHY 773 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1240388 | 01 |
| Other Name | Type Code |
|---|---|
| Honolulu Compounding Pharmacy | Doing Business As Name - Organization |
| Street Address |
2080 S KING ST STE 101 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96826-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382772 | Barbora Kadecka | Pediatrics | 1319 Punahou Street #741, Pediatric Residency Program, Honolulu, HI 96826 | 2020-07-02 |
| 1134784325 | Elizabeth Mercer | Obstetrics & Gynecology | Kapiolani Medical Center, 1319 Punahou Street, #824, Honolulu, HI 96826 | 2019-05-03 |
| 1609334168 | Rebecca Lapenes | Behavior Technician | 831 Kuikahi St, Honolulu, HI 96826 | 2019-03-04 |
| 1144759507 | Sharareh Firouzbakht | Obstetrics & Gynecology | 1319 Punahou Street, #824, Honolulu, HI 96826 | 2017-06-08 |
| 1447623939 | Island Paradise Investments, Lp | Skilled Nursing Facility | 1723 Kalakaua Avenue, Honolulu, HI 96826 | 2015-11-05 |
| 1285004986 | Katie Ann Steinhelfer | Registered Nurse | 2011 Waiola St, Honolulu, HI 96826 | 2015-10-07 |
| 1528463288 | Sara Chong | Chiropractor | 500 University Ave Apt 928, Honolulu, HI 96826 | 2014-10-23 |
| 1053757807 | Salt Lake Family Dentistry | Dentist | 905 C Makahiki Way, Honolulu, HI 96826 | 2013-05-21 |
| 1134436041 | Michelle K. Fukumoto | Psychologist | 1110 University Ave., Suite #403, Honolulu, HI 96826 | 2010-09-13 |
| 1497072334 | Lajwanti Devyani Singh | Social Worker | 1110 University Ave Ste 205, Honolulu, HI 96826 | 2010-05-03 |
| Find all providers in zip 96826 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013369289 | Foodland Supermarket Ltd | Pharmacy | 1450 Ala Moana Blvd # 8000, Honolulu, HI 96814-4604 | 2016-07-12 |
| 1568870442 | Open Door Rx | Pharmacy | 1130 N Nimitz Hwy Rm A153, Honolulu, HI 96817-5777 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639416605 | Mina Corporation | Pharmacy | 81 6629 Mamalahoa Hwy, Kealakekua, HI 96750 | 2013-01-11 |
| 1295827111 | Pacific Health Management LLC | Pharmacy | 3-3420b Kuhio Hwy, Ste 101, Lihue, HI 96766-1096 | 2006-09-28 |
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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.