Active NPI
Molokai Drugs, Inc.
- Community/Retail Pharmacy
- Kaunakakai, HI
National Provider Identifier
1144284340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY205
- Legal business name
- MOLOKAI DRUGS, INC.
- Doing business as
- Molokai Drugs Inc
- Practice address
- 28 Kamoi St
Ste 100
Kaunakakai, HI 96748 - Phone
- (808) 553-5790
- Fax
- (808) 553-5308
- NPI assigned
- Apr 14, 2006
- Last updated
- Jan 27, 2012
- 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
- David Mikami, RPH
- Title
- Ceo Chairman
- Phone
- (808) 553-5790
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY205 | HI | Primary |
Addresses
Primary practice location
28 Kamoi St
Ste 100
Kaunakakai, HI 96748
Mailing address
PO Box 558
Kaunakakai, HI 96748-0558
Phone (808) 553-5790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1200839 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 04491201 | Medicaid | HI |
Other names 1
- MOLOKAI DRUGS INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930064539 | HI | DME Supplier - Pharmacy | 7416023155 | Practice locations: Kaunakakai, HI |
| O20120912000720 | HI | Part B Supplier - Pharmacy | 7416023155 | Practice locations: Kaunakakai, HI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D2237323 | Molokai Drugs, Inc | Certificate of waiver | Sep 22, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Molokai Drugs Inc | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|… | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Kaunakakai, HI
- NPI 1538389747
-
- Pharmacist
- Kaunakakai, HI
- NPI 1427928910
-
- Registered Dietitian
- Kailua, HI
- NPI 1386936128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327622400000",
"number": "1144284340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 558",
"city": "KAUNAKAKAI",
"state": "HI",
"postal_code": "967480558",
"telephone_number": "808-553-5790",
"fax_number": "808-553-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 KAMOI ST",
"address_2": "STE 100",
"city": "KAUNAKAKAI",
"state": "HI",
"postal_code": "96748",
"telephone_number": "808-553-5790",
"fax_number": "808-553-5308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOLOKAI DRUGS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-14",
"last_updated": "2012-01-27",
"status": "A",
"authorized_official_last_name": "MIKAMI",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO CHAIRMAN",
"authorized_official_telephone_number": "808-553-5790",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "HI",
"license": "PHY205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1200839",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04491201",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MOLOKAI DRUGS INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kaunakakai, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.