Active NPI
5 Minute Pharmacy LTC LLC
- Specialty Pharmacy
- Waipahu, HI
National Provider Identifier
1104573088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- 5 MINUTE PHARMACY LTC LLC
- Doing business as
- 5 Minute Pharmacy Long Term Care
- Practice address
- 94-449 Akoki St Ste 102
Waipahu, HI 96797-2732 - Phone
- (808) 671-5511
- Fax
- (808) 671-5522
- NPI assigned
- Mar 9, 2022
- Organization subpart
- Yes
- Parent organization
- 5 MINUTE PHARMACY LTC LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derek Tengan, PHARM.D.
- Title
- Member
- Phone
- (808) 671-5511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
94-449 Akoki St Ste 102
Waipahu, HI 96797-2732
Mailing address
94-449 Akoki St Ste 102
Waipahu, HI 96797-2732
Phone (808) 671-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 688690 | Medicaid | HI |
Other names 1
- 5 Minute Pharmacy Long Term Care
National Provider Directory
National Provider Directory- Tax ID family
- 5 Minute Pharmacy LTC LLC
- Part of
- 5 Minute Pharmacy LTC LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Waipahu, HI
- NPI 1336427509
Locations
94-449 Akoki St
Ste 102
Waipahu, HI 96797
Phone (808) 671-5511
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Long Term Care Pharmacy
- Waipahu, HI
- NPI 1336427509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646784000000",
"number": "1104573088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-449 AKOKI ST STE 102",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972732",
"telephone_number": "808-671-5511",
"fax_number": "808-671-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-449 AKOKI ST STE 102",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972732",
"telephone_number": "808-671-5511",
"fax_number": "808-671-5522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "5 MINUTE PHARMACY LTC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "5 MINUTE PHARMACY LTC LLC",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "TENGAN",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "808-671-5511",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "688690",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "5 Minute Pharmacy Long Term Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.