Active NPI
Premium Medical Equipment & Supplies
- Durable Medical Equipment & Medical Supplies
- Honolulu, HI
National Provider Identifier
1164544169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55102901 | Medicaid | HI | |
| 0246223 | Other | HI | HAWAII MEDICAL SERVICES |
National Provider Directory
National Provider DirectoryLocations
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.