Organization Active NPI

Pacific Choice, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hilo, HI
National Provider Identifier
1124338371
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Oct 20, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
514065MedicaidHI
1689806770MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Pacific Choice LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.