NPIMap

Organization Active NPI

Lanai Community Health Center

  • Community/Retail Pharmacy
  • Lanai City, HI
National Provider Identifier
1205413101
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LANAI COMMUNITY HEALTH CENTER
Practice address
333 Sixth Street
Lanai City, HI 96763-0142
Phone
(808) 565-6919
Fax
(808) 565-9111
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Jacey G Laborte
Title
Chief Executive Officer
Phone
(808) 649-5407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

333 Sixth Street
Lanai City, HI 96763-0142

Mailing address

PO Box 630142
Lanai City, HI 96763-0142
Phone (808) 565-6919

Other identifiers 1

IdentifierTypeStateIssuer
614330MedicaidHI

Practitioners 23

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

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Lanai Community Health Ctr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1205413101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630142",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "967630142",
            "telephone_number": "808-565-6919",
            "fax_number": "808-565-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SIXTH STREET",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "967630142",
            "telephone_number": "808-565-6919",
            "fax_number": "808-565-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANAI COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "LABORTE",
        "authorized_official_first_name": "JACEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-649-5407"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "614330",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanai City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.