Organization Active NPI

Sheldon Zimmerman Inc

  • Pharmacy
  • Lahaina, HI
National Provider Identifier
1124125489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY468 Issued in HI
Legal business name
SHELDON ZIMMERMAN INC
Practice address
843 Wainee St
Lahaina, HI 96761-1685
Phone
(808) 661-3119
Fax
(808) 661-3119
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sheldon L Zimmerman
Title
RPH Owner
Phone
(808) 661-3119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY468 HI Primary

Addresses

Primary practice location

843 Wainee St
Lahaina, HI 96761-1685

Mailing address

843 Wainee St
Lahaina, HI 96761-1685
Phone (808) 661-3119

Other identifiers 2

IdentifierTypeStateIssuer
88823OtherHIHMSA
08639301MedicaidHI

Other names 1

  • Lahaina Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

843 Wainee St
Lahaina, HI 96761
Phone (808) 661-3119

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124125489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 WAINEE ST",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611685",
            "telephone_number": "808-661-3119",
            "fax_number": "808-661-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 WAINEE ST",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611685",
            "telephone_number": "808-661-3119",
            "fax_number": "808-661-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON ZIMMERMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RPH OWNER",
        "authorized_official_telephone_number": "808-661-3119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "HI",
            "license": "PHY468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "88823",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08639301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lahaina Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lahaina, HI

Sources for this page

  • 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.