PACIFIC HEALTH PHARMACY LLC NPI 1699835827

NPI Information

NPI: 1699835827
Provider Name: PACIFIC HEALTH PHARMACY LLC
Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
2875 KOAPAKA ST
STE B
HONOLULU, HI
ZIP 96819
Phone: (808) 833-3414
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PACIFIC HEALTH PHARMACY LLC is a compounding pharmacy pharmacy in Honolulu, HI. The provider is 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. PACIFIC HEALTH PHARMACY LLC NPI is 1699835827. The provider is registered as an organization entity type.

The provider's business location address is:

2875 KOAPAKA ST
STE B
HONOLULU, HI
ZIP 96819-921
Phone: (808) 833-3414
Fax: (808) 833-3416

The provider's authorized official is Daryleann Ho .
The authorized official title is Managing Director and has the following contact phone number (808) 833-3414.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 7/26/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336L0003X	Pharmacy	Long Term Care Pharmacy			No
2	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy			No
3	3336C0002X	Pharmacy	Clinic Pharmacy			No
4	332B00000X	Durable Medical Equipment & Medical Supplies				No
5	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
6	3336M0002X	Pharmacy	Mail Order Pharmacy			No
7	3336S0011X	Pharmacy	Specialty Pharmacy			No
8	3336C0004X	Pharmacy	Compounding Pharmacy	PHY681	HAWAII	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1239842	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	590580	MEDICAID	HAWAII
3	1239842	OTHER		OTHER ID NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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