Foodland Super Market Limited

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY828 Issued in HI

Legal business name

FOODLAND SUPER MARKET LIMITED

Practice address

2100 Kanoelehua Ave
Hilo, HI 96720-6500

Phone

(808) 959-5831

NPI assigned

Nov 30, 2012

Organization subpart

No

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

Authorized official

Name

Patrick Adams

Title

Director of Pharmacy

Phone

(808) 735-7202

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Foodland Pharmacy Doing business as

Locations

Interoperability endpoints

• Direct secure messaging: tiffany.santore@hawaiihie.medicity.net
• Direct secure messaging: aaron.chun@hawaiihie.medicity.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron C Chun, PHARMD

  • Pharmacist
  • Hilo, HI
  • NPI 1366791113
  NPD
• Tiffany Pualei Santore, PHARMD

  • Pharmacist
  • Kamuela, HI
  • NPI 1972861276
  NPD

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1164767232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 KANOELEHUA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967206500",
            "telephone_number": "808-959-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 KANOELEHUA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967206500",
            "telephone_number": "808-959-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOODLAND SUPER MARKET LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "808-735-7202"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1240984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foodland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Flowers
• Mark Fomenko
• Lauren Nicole Fong
• Randy Bryan Fonseca
• Blossom Fontes
• Benjamin Elias Foorman, MD
• Foot and Ankle Specialists of Hawaii LLC
• Foot Health Center of Hawaii
• Rachel Forment
• Elena Fosness, LMFT

• Community/Retail Pharmacy in Hilo, HI
• Providers in Hilo, HI by specialty
• Community/Retail Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.