Wha J Kimball, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

915 Issued in HI

Legal business name

WHA J KIMBALL, INC

Doing business as

Discovery Bay Pharmacy

Practice address

1778 Ala Moana Blvd Ste 208
Honolulu, HI 96815-5312

Phone

(727) 667-8604

NPI assigned

Sep 27, 2017

Organization subpart

No

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

Authorized official

Name

Wha J Kimball, PHARMDNPI 1811425358

Title

Pharmacist in Charge

Phone

(727) 667-8604

Specialties & licenses 1

Addresses

Other names 1

• Discovery Bay Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

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

• Wha J Kimball, PHARMD

  • Pharmacist
  • Honolulu, HI
  • NPI 1811425358

  Community/Retail Pharmacy

  NPD Authorized official

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205345717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 ALA MOANA BLVD STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968155312",
            "telephone_number": "727-667-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 ALA MOANA BLVD STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968155312",
            "telephone_number": "727-667-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHA J KIMBALL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "WHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "727-667-8604",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery Bay Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Marie Westly, MHC
• Rochelle R Westmoreland, MASSAGE THERAPIST
• Patria Ruth Weston-Lee, LCSW
• Zachary T Westrick, D.C.
• Erin Wetzel, MSW
• Tara-Renee Whalen, OTD OTR/L IBCLC NLP
• Corydon Robert Whaley
• Eanah Whaley, PHD
• Craig Whang
• Emily Wharton

• Community/Retail Pharmacy in Honolulu, HI
• Providers in Honolulu, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.