Active NPI
Kenneth Ooka
- Pharmacist
- Hilo, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH2708
- Practice address
- 670 Ponahawai St Ste 206
Hilo, HI 96720-7830 - Phone
- (808) 333-3420
- NPI assigned
- Oct 27, 2010
- Last updated
- Feb 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH2708 | HI | Primary |
Addresses
Primary practice location
670 Ponahawai St Ste 206
Hilo, HI 96720-7830
Mailing address
670 Ponahawai St Ste 206
Hilo, HI 96720-7830
Other practice location 1
16-192 Pili Mua St
Keaau, HI 96749-8134
Phone (808) 930-0400
Other practice location 2
111 E Puainako St
Safeway Pharmacy
Hilo, HI 96720-5288
Phone (808) 959-2000 ext. 4
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH2708 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maika'I Health Corporation | Current | Accepting new patients | |
| Maika'I Health Corporation | Current | Accepting new patients |
Locations
670 Ponahawai St
Ste 206
Hilo, HI 96720
Phone (808) 333-3420
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Maika'i Health Community Clinic
- Community Health Clinic/Center
- Hilo, HI
- NPI 1891301016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1033419742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 PONAHAWAI ST STE 206",
"city": "HILO",
"state": "HI",
"postal_code": "967207830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 PONAHAWAI ST STE 206",
"city": "HILO",
"state": "HI",
"postal_code": "967207830",
"telephone_number": "808-333-3420"
}
],
"practiceLocations": [
{
"address_1": "16-192 Pili Mua St",
"address_purpose": "LOCATION",
"city": "Keaau",
"state": "HI",
"postal_code": "967498134",
"country_code": "US",
"telephone_number": "808-930-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 E Puainako St",
"address_2": "Safeway Pharmacy",
"address_purpose": "LOCATION",
"city": "Hilo",
"state": "HI",
"postal_code": "967205288",
"country_code": "US",
"telephone_number": "808-959-2000 x4",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OOKA",
"first_name": "KENNETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-27",
"last_updated": "2024-02-09",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH2708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.