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PUNA PLANTATION HAWAII LTD. NPI 1902956360


NPI Information

NPI: 1902956360
Provider Name: PUNA PLANTATION HAWAII, LTD.

Doing Business As: KTA KEAUHOU PHARMACY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
78-6831 ALII DR
KAILUA KONA, HI
ZIP 96740
Phone: (808) 322-2511
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PUNA PLANTATION HAWAII, LTD. is a durable medical equipment medical supplies in Kailua Kona, HI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PUNA PLANTATION HAWAII, LTD. NPI is 1902956360. The provider is registered as an organization entity type.
The provider Is Doing Business As Kta Keauhou Pharmacy.

The provider's business location address is:

78-6831 ALII DR
KAILUA KONA, HI
ZIP 96740-495
Phone: (808) 322-2511
Fax: (808) 322-1832

The provider's authorized official is Kerri Okamura .
The authorized official title is Dir. Of Pharmacy Operations and has the following contact phone number (808) 959-4575.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 1/19/2009.


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
1332B00000XDurable Medical Equipment & Medical SuppliesPHY349HAWAIIYes

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
10838790002MEDICARE NSCHAWAII
208387401MEDICAIDHAWAII
3102639OTHERHAWAIIMEDICARE IMMUNIZ ROSTER

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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