Outrigger Shops LTD

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY200 Issued in HI

Legal business name

OUTRIGGER SHOPS LTD

Doing business as

Kuhio Pharmacy

Practice address

2330 Kuhio Ave
Honolulu, HI 96815-2951

Phone

(808) 923-4466

Fax

(808) 922-1104

NPI assigned

Jan 30, 2007

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

Mr. Steven G Norstrom

Title

President Owner of the Company

Phone

(808) 923-2057

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kuhio Pharmacy Doing business as

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104962463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 KUHIO AVE",
            "address_2": "MEZZANINE FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152951",
            "telephone_number": "808-923-4466",
            "fax_number": "808-922-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 KUHIO AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152951",
            "telephone_number": "808-923-4466",
            "fax_number": "808-922-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTRIGGER SHOPS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORSTROM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT OWNER OF THE COMPANY",
        "authorized_official_telephone_number": "808-923-2057",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "HI",
            "license": "PHY200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08186101",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "P0007778",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kuhio Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pharmacy 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.