Organization Active NPI

Castle Medical Center

  • General Acute Care Hospital
  • Kailua, HI
National Provider Identifier
1235262114
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
PHY-197 Issued in HI
Legal business name
CASTLE MEDICAL CENTER
Practice address
640 Ulukahiki St
Inpatient Pharmacy
Kailua, HI 96734
Phone
(808) 263-5192
Fax
(808) 263-5408
NPI assigned
Mar 13, 2007
Last updated
May 23, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
CASTLE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Mr. Douglas Duncan, RPH
Title
Pharmacy Director
Phone
(808) 263-5192

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X PHY-197 HI Primary
Community/Retail Pharmacy 3336C0003X PHY197 HI

Addresses

Primary practice location

640 Ulukahiki St
Inpatient Pharmacy
Kailua, HI 96734

Mailing address

640 Ulukahiki St
Inpatient Pharmacy
Kailua, HI 96734-4454
Phone (808) 263-5192

Other identifiers 2

IdentifierTypeStateIssuer
B0501-3MedicaidHI
1201742OtherHINCPDP (NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS)

National Provider Directory

National Provider Directory
Tax ID family
Castle Medical Ctr10 organizations share this tax ID, including this one
Part of
Castle Medical Ctr

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1235262114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ULUKAHIKI ST",
            "address_2": "INPATIENT PHARMACY",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344454",
            "telephone_number": "808-263-5192",
            "fax_number": "808-263-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ULUKAHIKI ST",
            "address_2": "INPATIENT PHARMACY",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-263-5192",
            "fax_number": "808-263-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTLE MEDICAL CENTER",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "808-263-5192",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "HI",
            "license": "PHY-197",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B0501-3",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP (NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS)",
            "identifier": "1201742",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.