Active NPI
Sheldon Zimmerman Inc
- Pharmacy
- Lahaina, HI
National Provider Identifier
1124125489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY468
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88823 | Other | HI | HMSA |
| 08639301 | Medicaid | HI |
Other names 1
- Lahaina Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.