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MEDIPHARM PHARMACY LLC NPI 1013305457


NPI Information

NPI: 1013305457
Provider Name: MEDIPHARM PHARMACY LLC

Doing Business As: MEDIPHARM PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
891 ULULANI ST STE 113
HILO, HI
ZIP 96720
Phone: (808) 969-9163
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MEDIPHARM PHARMACY LLC is a long term care pharmacy pharmacy in Hilo, HI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MEDIPHARM PHARMACY LLC NPI is 1013305457. The provider is registered as an organization entity type.
The provider Is Doing Business As Medipharm Pharmacy.

The provider's business location address is:

891 ULULANI ST STE 113
HILO, HI
ZIP 96720-982
Phone: (808) 969-9163
Fax: (808) 969-9263

The provider's authorized official is Scott Dahlem .
The authorized official title is Office Manager and has the following contact phone number (808) 523-7088.

The enumeration date for this NPI number is 1/8/2015 and was last updated on 2/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY870HAWAIINo
33336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12149431OTHERPK
2539116MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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