Pacific Health Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

10685476 Issued in HI

Legal business name

PACIFIC HEALTH INC

Practice address

2875 Koapaka St
Honolulu, HI 96819-1921

Phone

(808) 833-3414

Fax

(808) 833-3416

NPI assigned

Jul 7, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Daryle Ann Ho

Title

President

Phone

(808) 833-3414

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• PHI Other name

Locations

Practitioners 1

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.

• Brian T Hifumi, RPH

  • Pharmacist
  • Honolulu, HI
  • NPI 1366609729
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093712762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 KOAPAKA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191921",
            "telephone_number": "808-833-3414",
            "fax_number": "808-833-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 KOAPAKA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191921",
            "telephone_number": "808-833-3414",
            "fax_number": "808-833-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "DARYLE ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-833-3414",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "HI",
            "license": "10685476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53958801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER #",
            "identifier": "0000243493",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER PROV #",
            "identifier": "552598-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PROVIDER #",
            "identifier": "98333",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pacific Endoscopy Center LLC
• Pacific Eye Surgery Center, Inc.
• Pacific Family Dental, Inc.
• Pacific Hair Waikiki, LLC (Pacific Hair Loss Solutions Waikiki)
• Pacific Health Alliance (Hawaii Women's Clinic)
• Pacific Health Pharmacy LLC
• Pacific Healthcare Services LLC
• Pacific in Vitro Fertilization Institute
• Pacific Insight Psychology LLC
• Pacific Maxillofacial Center, LLC

• Durable Medical Equipment & Medical Supplies in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Durable Medical Equipment & Medical Supplies in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.