Active NPI
Pacific Choice, LLC
- Durable Medical Equipment & Medical Supplies
- Hilo, HI
National Provider Identifier
1124338371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PACIFIC CHOICE, LLC
- Practice address
- 688 Kinoole Street
Suite 101
Hilo, HI 96720 - Phone
- (808) 678-3668
- Fax
- (808) 678-3668
- NPI assigned
- Oct 20, 2010
- 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
- Mrs. Sarah M Suzuki, MBA, RN
- Title
- Managing Partner
- Phone
- (808) 678-3668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
688 Kinoole Street
Suite 101
Hilo, HI 96720
Mailing address
94-408 Akoki Street
Suite 205
Waipahu, HI 96797-2733
Phone (808) 678-3668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 514065 | Medicaid | HI | |
| 1689806770 | Medicaid | HI |
National Provider Directory
National Provider Directory- Tax ID family
- Pacific Choice LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Waipahu, HI
- NPI 1689806770
Locations
688 Kinoole St
Ste 101
Hilo, HI 96720
Phone (808) 678-3668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287532800000",
"number": "1124338371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-408 AKOKI STREET",
"address_2": "SUITE 205",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972733",
"telephone_number": "808-678-3668",
"fax_number": "808-678-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "688 KINOOLE STREET",
"address_2": "SUITE 101",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-678-3668",
"fax_number": "808-678-3668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC CHOICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-20",
"last_updated": "2010-10-20",
"status": "A",
"authorized_official_last_name": "SUZUKI",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "808-678-3668",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA, RN"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "514065",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689806770",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.