Organization Active NPI

Value Drug LTD

  • Specialty Pharmacy
  • Hilo, HI
National Provider Identifier
1083690150
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PHY454 Issued in HI
Legal business name
VALUE DRUG LTD
Practice address
162 Kinoole St
Suite 104
Hilo, HI 96720-2861
Phone
(808) 961-5115
Fax
(808) 961-5918
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Byron Yoshino, PHARMD
Title
President and Ceo
Phone
(808) 840-5656

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X PHY454 HI Primary

Addresses

Primary practice location

162 Kinoole St
Suite 104
Hilo, HI 96720-2861

Mailing address

3375 Koapaka St
Suite G320
Honolulu, HI 96819-1800
Phone (808) 836-0223

Other identifiers 2

IdentifierTypeStateIssuer
022681MedicaidHI
2018530OtherPK

Other names 1

  • PHARMACARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616001231 HI Part B Supplier - Pharmacy 0840274825 1 other NPI on this enrollment
Practice locations: Hilo, HI; Honolulu, HI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pharmacare6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1083690150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 KOAPAKA ST",
            "address_2": "SUITE G320",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191800",
            "telephone_number": "808-836-0223",
            "fax_number": "808-836-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 KINOOLE ST",
            "address_2": "SUITE 104",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202861",
            "telephone_number": "808-961-5115",
            "fax_number": "808-961-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE DRUG LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "YOSHINO",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "808-840-5656",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "HI",
            "license": "PHY454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022681",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2018530",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.