Mina Corporation

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

PHY-644 Issued in HI

Legal business name

MINA CORPORATION

Doing business as

Mina Pharmacy #3

Practice address

2470 S King St
Honolulu, HI 96826-3013

Phone

(808) 955-6800

Fax

(808) 955-6877

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Adel Etinas, R.PH

Title

Ceo

Phone

(808) 222-9252

Specialties & licenses 1

Addresses

Other names 1

• MINA PHARMACY #3 Doing business as

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1114029865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263013",
            "telephone_number": "808-955-6800",
            "fax_number": "808-955-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263013",
            "telephone_number": "808-955-6800",
            "fax_number": "808-955-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "ETINAS",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-222-9252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "HI",
            "license": "PHY-644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINA PHARMACY #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jiyoung Min, PHARM D
• Kathleen Min, MD
• Kyong Su Min, MD
• Noelle Aram Min, DO
• Richard Thomas Min, M.D.
• Mina Corporation (Mina compounding pharmacy #4)
• Mina Corporation (Mina Pharmacy #1)
• Mina Corporation (Mina Pharmacy #4)
• Mina Corporation (Mina Pharmacy # 11)
• Mina Ganapathy MD Inc

• Point of Service in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Point of Service in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.