Active NPI
Central Fill Pharmacy
Doing business as Mina Pharmacy #16
- Mail Order Pharmacy
- Honolulu, HI
National Provider Identifier
1073882387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- License
- 804
- Legal business name
- CENTRAL FILL PHARMACY
- Doing business as
- Mina Pharmacy #16
- Practice address
- 3375 Koapaka St Ste F245
Honolulu, HI 96819-1881 - Phone
- (808) 738-4540
- Fax
- (808) 690-9163
- NPI assigned
- Dec 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Moser
- Title
- Director of Pharmacy
- Phone
- (808) 738-4540
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Mail Order Pharmacy | 3336M0002X | 804 | HI | Primary |
Addresses
Primary practice location
3375 Koapaka St Ste F245
Honolulu, HI 96819-1881
Mailing address
3375 Koapaka St Ste F245
Honolulu, HI 96819-1881
Phone (808) 738-4540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1240744 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Mina Pharmacy #16
National Provider Directory
National Provider Directory- Tax ID family
- Mina Corporation
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323993600000",
"number": "1073882387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 KOAPAKA ST STE F245",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191881",
"telephone_number": "808-738-4540",
"fax_number": "808-690-9163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 KOAPAKA ST STE F245",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191881",
"telephone_number": "808-738-4540",
"fax_number": "808-690-9163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FILL PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-16",
"last_updated": "2011-12-16",
"status": "A",
"authorized_official_last_name": "MOSER",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "808-738-4540"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "HI",
"license": "804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1240744",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mina Pharmacy #16",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.