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CASTLE MEDICAL CENTER NPI 1588631170


NPI Information

NPI: 1588631170
Provider Name: CASTLE MEDICAL CENTER

Doing Business As: ADVENTIST HEALTH CASTLE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 12D0690886

Address:
642 ULUKAHIKI ST
STE 101
KAILUA, HI
ZIP 96734
Phone: (808) 263-5060
Get Directions

CASTLE MEDICAL CENTER is a community/retail pharmacy pharmacy in Kailua, HI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CASTLE MEDICAL CENTER NPI is 1588631170. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventist Health Castle.

The provider's business location address is:

642 ULUKAHIKI ST
STE 101
KAILUA, HI
ZIP 96734
Phone: (808) 263-5060
Fax: (808) 263-5065

The provider's authorized official is Heidar Thordarson .
The authorized official title is Finance Officer and has the following contact phone number (808) 236-5142.

The CLIA number assigned to this NPI record is 12D0690886 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/2/2006 and was last updated on 5/23/2018.


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 SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHY636HAWAIIYes

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
11204370OTHERNCPDP (NATIONAL COUNCIL FOR PRESCRIPTION DRUGS PROGRAMS)
22019360OTHERPK
352187401MEDICAIDHAWAII

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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