NPIMap

Organization Active NPI

Foodland Super Market Limited

Doing business as Foodland Pharmacy

  • Community/Retail Pharmacy
  • Kapolei, HI
National Provider Identifier
1083959993
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY827 Issued in HI
Legal business name
FOODLAND SUPER MARKET LIMITED
Doing business as
Foodland Pharmacy
Practice address
4850 Kapolei Parkway
Kapolei, HI 96707
Phone
(808) 674-1156
Fax
(808) 674-1159
NPI assigned
Dec 4, 2012
Last updated
Dec 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY827 HI Primary

Addresses

Primary practice location

4850 Kapolei Parkway
Kapolei, HI 96707

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1240972OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • FOODLAND PHARMACY Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: trenton.teruya@hawaiihie.medicity.net

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1083959993",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 KAPOLEI PARKWAY",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "96707",
            "telephone_number": "808-674-1156",
            "fax_number": "808-674-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOODLAND SUPER MARKET LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "808-735-7202"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1240972",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOODLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.