Puna Plantation Hawaii, LTD.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY447 Issued in HI

Legal business name

PUNA PLANTATION HAWAII, LTD.

Practice address

65-1158 Mamalahoa Hwy
Kamuela, HI 96743-8442

Phone

(808) 885-0033

Fax

(808) 885-0397

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Toby B Taniguchi

Title

President

Phone

(808) 989-5466

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KTA Kamuela Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in HI2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Puna Plantation Hawaii, LTD

  • Community/Retail Pharmacy
  • Waikoloa, HI
  • NPI 1962846063

  7113027145

  Same PAC ID
• Puna Plantation Hawaii, LTD.

  • Community/Retail Pharmacy
  • Hilo, HI
  • NPI 1205500279

  7113027145

  Same PAC ID
• Puna Plantation Hawaii, LTD.

  • Community/Retail Pharmacy
  • Kailua Kona, HI
  • NPI 1518057017

  7113027145

  Same PAC ID
• Puna Plantation Hawaii, LTD.

  • Community/Retail Pharmacy
  • Hilo, HI
  • NPI 1821188327

  7113027145

  Same PAC ID

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Puna Plantation Hawaii, LTD

  • Community/Retail Pharmacy
  • Waikoloa, HI
  • NPI 1962846063

  O20170906000844

  Same enrollment
• Puna Plantation Hawaii, LTD.

  • Community/Retail Pharmacy
  • Hilo, HI
  • NPI 1356118152

  O20170906000844

  Same enrollment
• Puna Plantation Hawaii, LTD.

  • Community/Retail Pharmacy
  • Kailua Kona, HI
  • NPI 1518057017

  O20170906000844

  Same enrollment
• Puna Plantation Hawaii, LTD.

  • Community/Retail Pharmacy
  • Hilo, HI
  • NPI 1821188327

  O20170906000844

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elissa-Marie Elikapeka Kaahanui Brown, PHARMD

  • Pharmacist
  • Kamuela, HI
  • NPI 1043798945

  Pharmacy

  NPD (past)
• Naomi C Corrales, CPHT

  • Pharmacy Technician
  • Kailua Kona, HI
  • NPI 1336720911
  NPD (past)
• Necole Miyazaki, PHARMD

  • Pharmacist
  • Hilo, HI
  • NPI 1528546413
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1134219645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967430388",
            "telephone_number": "808-885-0033",
            "fax_number": "808-885-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1158 MAMALAHOA HWY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438442",
            "telephone_number": "808-885-0033",
            "fax_number": "808-885-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNA PLANTATION HAWAII, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "TANIGUCHI",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-989-5466"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08165201",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS IMMUNIZ ROS",
            "identifier": "102639",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KTA Kamuela Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KTA Kamuela Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Ann Petrosky, LMHC
• Mark A. Pithan, M.D.
• Shaden Powell, M.ED
• Dodi Pritchett, BCBA, LBA
• Nina Hoomaikaiana Puckett, LMHC
• Pure Life Chiropractic, LLC
• Queen'S North Hawaii Community Hospital
• Queen'S North Hawaii Community Hospital
• Queens North Hawaii Community Hospital
• Queens North Hawaii Community Hospital

• Community/Retail Pharmacy in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Community/Retail Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.