Organization Active NPI

Premium Medical Equipment & Supplies

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
National Provider Identifier
1164544169
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIUM MEDICAL EQUIPMENT & SUPPLIES
Practice address
1151 Mapunapuna St
Unit D9
Honolulu, HI 96819-4428
Phone
(808) 836-9559
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Julie Anna McNab
Title
Billing Agent
Phone
(251) 625-0680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1151 Mapunapuna St
Unit D9
Honolulu, HI 96819-4428

Mailing address

1151 Mapunapuna St
Honolulu, HI 96819-4428
Phone (808) 836-9559

Other identifiers 2

IdentifierTypeStateIssuer
55102901MedicaidHI
0246223OtherHIHAWAII MEDICAL SERVICES

National Provider Directory

National Provider Directory

Locations

1151 Mapunapuna St
Unit D9
Honolulu, HI 96819
Phone (808) 836-9559

1151 Mapunapuna St
Honolulu, HI 96819

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1164544169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 MAPUNAPUNA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194428",
            "telephone_number": "808-836-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MAPUNAPUNA ST",
            "address_2": "UNIT D9",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194428",
            "telephone_number": "808-836-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM MEDICAL EQUIPMENT & SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "MCNAB",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "251-625-0680"
    },
    "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": "55102901",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICES",
            "identifier": "0246223",
            "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 Nov 26, 2007; 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.