NPIMap

Organization Active NPI

Puna Plantation Hawaii, LTD.

Doing business as KTA Puainako Pharmacy

  • Community/Retail Pharmacy
  • Hilo, HI
National Provider Identifier
1205500279
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PUNA PLANTATION HAWAII, LTD.
Doing business as
KTA Puainako Pharmacy
Practice address
50 E Puainako St
Hilo, HI 96720-5243
Phone
(808) 959-8700
Fax
(808) 959-7559
NPI assigned
Aug 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Megan Arbles
Title
Director of Pharmacy Operations
Phone
(808) 959-2849

Specialties & licenses 1

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

Addresses

Primary practice location

50 E Puainako St
Hilo, HI 96720-5243

Mailing address

50 E Puainako St
Hilo, HI 96720-5243
Phone (808) 959-8700

Other names 1

  • KTA Puainako Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230630001356 HI MDPP Supplier - in-Person MDPP Supplier 7113027145 Practice locations: Hilo, HI

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Kta Ponahawai LTC Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

50 E Puainako St
Hilo, HI 96720
Phone (808) 959-2849

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1205500279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E PUAINAKO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205243",
            "telephone_number": "808-959-8700",
            "fax_number": "808-959-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E PUAINAKO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205243",
            "telephone_number": "808-959-8700",
            "fax_number": "808-959-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNA PLANTATION HAWAII, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "ARBLES",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "808-959-2849"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KTA Puainako Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KTA Puainako Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.