Foodland Supermarket LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY907 Issued in HI

Legal business name

FOODLAND SUPERMARKET LTD

Practice address

1450 Ala Moana Blvd # 8000
Honolulu, HI 96814-4604

Phone

(808) 949-2990

Fax

(808) 949-2998

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Patrick Adams

Title

Pharmacy Director/Ao

Phone

(808) 735-7209

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Foodland Pharmacy #11 Doing business as

Locations

Practitioners 1

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

• Eric Lum, PHARMD.

  • Pharmacist
  • Kapaa, HI
  • NPI 1669722484
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1013369289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ALA MOANA BLVD # 8000",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144604",
            "telephone_number": "808-949-2990",
            "fax_number": "808-949-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ALA MOANA BLVD # 8000",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144604",
            "telephone_number": "808-949-2990",
            "fax_number": "808-949-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOODLAND SUPERMARKET LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR/AO",
        "authorized_official_telephone_number": "808-735-7209"
    },
    "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": "PHY907",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160940",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foodland Pharmacy #11",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Fong, OTD, OTR/L
• William Fong, MD
• Sharee Fonoti
• Lisa M Fonseca
• Joshua Fontaine, OTD, OTR/L
• Maxine Hinano Forbes
• James S. Ford, MD
• Zenaida Ford
• Joan M. Forester, CRNA
• Lindsay Kwai Lin Forester, PA

• All providers in Honolulu, HI
• Community/Retail Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.