Medipharm Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MEDIPHARM PHARMACY LLC

Practice address

891 Ululani St Ste 113
Hilo, HI 96720-3982

Phone

(808) 969-9163

Fax

(808) 969-9263

NPI assigned

Jan 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Dahlem

Title

Office Manager

Phone

(808) 523-7088

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Medipharm Pharmacy Doing business as

Tax ID family

Medipharm Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Medipharm Pharmacy

  • Long Term Care Pharmacy
  • Honolulu, HI
  • NPI 1144369273
  NPD tax ID
• Medipharm Pharmacy LLC

  • Long Term Care Pharmacy
  • Honolulu, HI
  • NPI 1912024209
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Kim

  • Pharmacist
  • Honolulu, HI
  • NPI 1184214959
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1013305457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38029",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968371029",
            "telephone_number": "808-744-9080",
            "fax_number": "808-744-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 ULULANI ST STE 113",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203982",
            "telephone_number": "808-969-9163",
            "fax_number": "808-969-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPHARM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "DAHLEM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-523-7088"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY870",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "539116",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medipharm Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medipharm Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McReynolds Medical Enterprises LLC
• Dale James McSherry, D.C.
• Donnalyn L Medeiros
• Kaydee Medeiros, PA-C, MCHS
• Medical Housecalls Hawaii
• Chloe Medrano
• Petra Meedt, LPA (TEXAS)
• Jackie L. Meister, CNM
• Kenton J Mejia
• Sara Petrina Joy Melendez

• Long Term Care Pharmacy in Hilo, HI
• Providers in Hilo, HI by specialty
• Long Term Care Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.