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MEDIPHARM PHARMACY LLC NPI 1912024209


NPI Information

NPI: 1912024209
Provider Name: MEDIPHARM PHARMACY LLC

Doing Business As: MEDIPHARM PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
875 WAIMANU ST
STE 600
HONOLULU, HI
ZIP 96813
Phone: (808) 591-6077
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MEDIPHARM PHARMACY LLC is a long term care pharmacy pharmacy in Honolulu, 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 for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MEDIPHARM PHARMACY LLC NPI is 1912024209. The provider is registered as an organization entity type.
The provider Is Doing Business As Medipharm Pharmacy.

The provider's business location address is:

875 WAIMANU ST
STE 600
HONOLULU, HI
ZIP 96813-248
Phone: (808) 591-6077
Fax: (808) 591-6078

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

The enumeration date for this NPI number is 3/23/2007 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
1333600000XPharmacyPHY689HAWAIINo
23336C0003XPharmacyCommunity/Retail PharmacyNo
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
1592495MEDICAIDHAWAII
21239929OTHERNCPDP PROVIDER IDENTIFICATION 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

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