NPIMap

Organization Active NPI

Mina Corporation

  • Compounding Pharmacy
  • Honolulu, HI
National Provider Identifier
1114301082
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PHY-888 Issued in HI
Legal business name
MINA CORPORATION
Practice address
1620 N School St
Honolulu, HI 96817-1844
Phone
(808) 672-6760
Fax
(808) 356-3392
NPI assigned
Jul 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Adel Etinas
Title
President,Ceo
Phone
(808) 222-9252

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X PHY-888 HI Primary

Addresses

Primary practice location

1620 N School St
Honolulu, HI 96817-1844

Mailing address

1620 N School St
Honolulu, HI 96817-1844
Phone (808) 672-6760

Other identifiers 1

IdentifierTypeStateIssuer
2152881OtherPK

Other names 1

  • Mina compounding pharmacy #4 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mina Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1114301082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N SCHOOL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171844",
            "telephone_number": "808-672-6760",
            "fax_number": "808-356-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N SCHOOL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171844",
            "telephone_number": "808-672-6760",
            "fax_number": "808-356-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "ETINAS",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "PRESIDENT,CEO",
        "authorized_official_telephone_number": "808-222-9252"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "HI",
            "license": "PHY-888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mina compounding pharmacy #4",
            "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 Jul 10, 2015; 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.