Organization Active NPI

Molokai Drugs, Inc.

  • Community/Retail Pharmacy
  • Kaunakakai, HI
National Provider Identifier
1144284340
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY205 Issued in HI
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1200839OtherNCPDP PROVIDER IDENTIFICATION NUMBER
04491201MedicaidHI

Other names 1

  • MOLOKAI DRUGS INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2237323Molokai Drugs, Inc28 Kamoi Street, Ste 100, Kaunakakai, HI 96748Certificate of waiverSep 22, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Molokai Drugs Inc28 Kamoi St, Kaunakakai, HI 96748(808) 553-5790 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 assignmentParticipating since Jun 29, 2012

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.