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5 MINUTE PHARMACY LTC LLC NPI 1336427509


NPI Information

NPI: 1336427509
Provider Name: 5 MINUTE PHARMACY LTC LLC

Doing Business As: 5 MINUTE PHARMACY LONG TERM CARE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
94-449 AKOKI ST STE 102
WAIPAHU, HI
ZIP 96797
Phone: (808) 671-5511
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5 MINUTE PHARMACY LTC LLC is a long term care pharmacy pharmacy in Waipahu, 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. 5 MINUTE PHARMACY LTC LLC NPI is 1336427509. The provider is registered as an organization entity type.
The provider Is Doing Business As 5 Minute Pharmacy Long Term Care.

The provider's business location address is:

94-449 AKOKI ST STE 102
WAIPAHU, HI
ZIP 96797-732
Phone: (808) 671-5511
Fax: (808) 671-5522

The provider's authorized official is Derek Tengan .
The authorized official title is Member and has the following contact phone number (808) 671-5511.

The enumeration date for this NPI number is 7/21/2011 and was last updated on 4/4/2024.


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
23336L0003XPharmacyLong Term Care PharmacyPHY-805HAWAIIYes

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
12131191OTHERPK
2688690MEDICAIDHAWAII

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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