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MINA CORPORATION NPI 1225130974


NPI Information

NPI: 1225130974
Provider Name: MINA CORPORATION

Doing Business As: MINA PHARMACY #1

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1441 KAPIOLANI BLVD
#510
HONOLULU, HI
ZIP 96814
Phone: (808) 945-9366
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MINA CORPORATION is a point of service in Honolulu, HI. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. MINA CORPORATION NPI is 1225130974. The provider is registered as an organization entity type.
The provider Is Doing Business As Mina Pharmacy #1.

The provider's business location address is:

1441 KAPIOLANI BLVD
#510
HONOLULU, HI
ZIP 96814-403
Phone: (808) 945-9366
Fax: (808) 943-9620

The provider's authorized official is Adel Etinas .
The authorized official title is President and has the following contact phone number (808) 738-4540.

The enumeration date for this NPI number is 9/2/2006 and was last updated on 10/3/2013.


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
1305S00000XPoint of ServicePHY-596HAWAIIYes

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
11266830001MEDICARE NSCHAWAII

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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