NPIMap

Organization Active NPI

University of Hawaii at Manoa

  • Clinic Pharmacy
  • Honolulu, HI
National Provider Identifier
1104866854
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHY-498 Issued in HI
Legal business name
UNIVERSITY OF HAWAII AT MANOA
Practice address
1710 E West Rd
Honolulu, HI 96822-2317
Phone
(808) 956-8965
Fax
(808) 956-3583
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Andrew Nichols, MDNPI 1093815813
Title
Director
Phone
(808) 956-8965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X PHY-498 HI Primary

Addresses

Primary practice location

1710 E West Rd
Honolulu, HI 96822-2317

Mailing address

1710 E West Rd
Honolulu, HI 96822-2317
Phone (808) 956-8965

Other identifiers 1

IdentifierTypeStateIssuer
2018860OtherPK

Other names 1

  • UNIVERSITY OF HAWAII STUDENT HEALTH SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of Hawaii7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1710 East West Rd
Honolulu, HI 96822
Phone (808) 956-8965

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1104866854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E WEST RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222317",
            "telephone_number": "808-956-8965",
            "fax_number": "808-956-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E WEST RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222317",
            "telephone_number": "808-956-8965",
            "fax_number": "808-956-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF HAWAII AT MANOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-956-8965",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "HI",
            "license": "PHY-498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2018860",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY OF HAWAII STUDENT HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.