Organization Active NPI

Foodland Supermarket LTD

  • Community/Retail Pharmacy
  • Kailua, HI
National Provider Identifier
1083772503
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY672 Issued in HI
Legal business name
FOODLAND SUPERMARKET LTD
Practice address
108 Hekili St
Kailua, HI 96734-2848
Phone
(808) 261-7329
Fax
(808) 261-7431
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Patrick Adams
Title
Dirrector of Pharmacy
Phone
(808) 735-7202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY672 HI Primary

Addresses

Primary practice location

108 Hekili St
Kailua, HI 96734-2848

Mailing address

3536 Harding Ave
Honolulu, HI 96816-2453
Phone (808) 735-7202

Other identifiers 2

IdentifierTypeStateIssuer
2019441OtherPK
58225601MedicaidHI

Other names 1

  • FOODLAND MEDICINE CABINET PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3536 Harding Ave
Honolulu, HI 96816

Interoperability endpoints

  • Direct secure messaging: erika.miyahira@hawaiihie.medicity.net

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1083772503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 HARDING AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162453",
            "telephone_number": "808-735-7202",
            "fax_number": "808-735-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HEKILI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342848",
            "telephone_number": "808-261-7329",
            "fax_number": "808-261-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOODLAND SUPERMARKET LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "808-735-7202"
    },
    "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": "PHY672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2019441",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58225601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOODLAND MEDICINE CABINET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.