Mina Corporation

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

PHY-596 Issued in HI

Legal business name

MINA CORPORATION

Doing business as

Mina Pharmacy #1

Practice address

1441 Kapiolani Blvd
#510
Honolulu, HI 96814-4403

Phone

(808) 945-9366

Fax

(808) 943-9620

NPI assigned

Sep 2, 2006

Last updated

Oct 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Adel Etinas, R.PH.

Title

President

Phone

(808) 738-4540

Specialties & licenses 1

Addresses

Other names 1

• MINA PHARMACY #1 Doing business as

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1225130974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 KOAPAKA STREET,",
            "address_2": "SUITE F245",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191816",
            "telephone_number": "808-738-4540",
            "fax_number": "808-690-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "#510",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144403",
            "telephone_number": "808-945-9366",
            "fax_number": "808-943-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "ETINAS",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-738-4540",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "HI",
            "license": "PHY-596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINA PHARMACY #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyong Su Min, MD
• Noelle Aram Min, DO
• Richard Thomas Min, M.D.
• Mina Corporation (Mina Pharmacy #3)
• Mina Corporation (Mina compounding pharmacy #4)
• Mina Corporation (Mina Pharmacy #4)
• Mina Corporation (Mina Pharmacy # 11)
• Mina Ganapathy MD Inc
• Mina Ganapathy MD LLC
• Mina Pharmacy LLC (Mina Pharmacy # 15)

• Point of Service in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Point of Service in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.