Active NPI
Medipharm Pharmacy
- Long Term Care Pharmacy
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MEDIPHARM PHARMACY
- Practice address
- 1188 Bishop St
Suite #802
Honolulu, HI 96813-3301 - Phone
- (808) 523-7088
- Fax
- (808) 523-7090
- NPI assigned
- Feb 5, 2007
- 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
- Mr. Scott Kim, R.PH.
- Title
- Member,Pharmacist
- Phone
- (808) 523-7088
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH1976 | HI | |
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1188 Bishop St
Suite #802
Honolulu, HI 96813-3301
Mailing address
1188 Bishop St
802
Honolulu, HI 96813-3301
Phone (808) 523-7088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 539116 | Medicaid | HI |
National Provider Directory
National Provider Directory- Tax ID family
- Medipharm Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1188 Bishop St
Ste 802
Honolulu, HI 96813
Phone (808) 523-7088
Practitioners & affiliated clinicians
Practitioners 1
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
- Honolulu, HI
- NPI 1184214959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581465600000",
"number": "1144369273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1188 BISHOP ST",
"address_2": "802",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968133301",
"telephone_number": "808-523-7088",
"fax_number": "808-523-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 BISHOP ST",
"address_2": "SUITE #802",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968133301",
"telephone_number": "808-523-7088",
"fax_number": "808-523-7090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIPHARM PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "MEMBER,PHARMACIST",
"authorized_official_telephone_number": "808-523-7088",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "HI",
"license": "PH1976",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "539116",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.