Kapa'a Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 793 Issued in HI

Legal business name

KAPA'A PHARMACY, LLC

Practice address

3216 Elua St
Lihue, HI 96766-1213

Phone

(808) 246-6900

Fax

(808) 246-6906

NPI assigned

Dec 16, 2010

Organization subpart

No

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

Authorized official

Name

Kevin Glick

Title

Managing Member

Phone

(808) 246-9100

Specialties & licenses 1

Addresses

Other names 1

• LIHUE CLINIC PHARMACY Doing business as

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1033412895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 KOLOPA ST STE B",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662027",
            "telephone_number": "808-246-6900",
            "fax_number": "808-246-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 ELUA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661213",
            "telephone_number": "808-246-6900",
            "fax_number": "808-246-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPA'A PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "808-246-9100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY 793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIHUE CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Karin Stoll, MSW, DCSW
• Kauai Chiropractic and Wellness Center, LLC
• Kauai Community College
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• Kauai Dentistry, Inc.

• Community/Retail Pharmacy in Lihue, HI
• Providers in Lihue, HI by specialty
• Community/Retail Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.