Active NPI
Ultimate Foot Store, Inc
- Durable Medical Equipment & Medical Supplies
- Honolulu, HI
National Provider Identifier
1245706969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ULTIMATE FOOT STORE, INC
- Practice address
- 820 W Hind Dr Ste 103
Honolulu, HI 96821-1849 - Phone
- (808) 542-0736
- Fax
- (808) 440-5251
- NPI assigned
- Oct 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David R Griffith
- Title
- VP/Treasurer
- Phone
- (808) 542-0736
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
820 W Hind Dr Ste 103
Honolulu, HI 96821-1849
Mailing address
707 Richards St Ste 525
Honolulu, HI 96813-4623
Phone (808) 542-0736
Other practice location 1
524 Keawe St
Honolulu, HI 96813-3101
Phone (808) 524-5247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GE-115-516-2112-01 | Other | HI | GENERAL EXCISE TAX LICENSE |
National Provider Directory
National Provider DirectoryLocations
98-1005 Moanalua Rd
Spc 809
Aiea, HI 96701
Phone (808) 397-5770
820 W Hind Dr
Ste 103
Honolulu, HI 96821
Phone (808) 542-0736
524 Keawe St
Honolulu, HI 96813
Phone (808) 207-6608
46-056 Kamehameha Hwy
Ste 109
Kaneohe, HI 96744
Phone (808) 529-9641
91-5431 Kapolei Pkwy
Ste 405
Kapolei, HI 96707
Phone (808) 599-9660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567987200000",
"number": "1245706969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 RICHARDS ST STE 525",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134623",
"telephone_number": "808-542-0736",
"fax_number": "808-440-5251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 W HIND DR STE 103",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968211849",
"telephone_number": "808-542-0736",
"fax_number": "808-440-5251"
}
],
"practiceLocations": [
{
"address_1": "524 Keawe St",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968133101",
"country_code": "US",
"telephone_number": "808-524-5247",
"fax_number": "808-441-5251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ULTIMATE FOOT STORE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-19",
"last_updated": "2019-09-09",
"status": "A",
"authorized_official_last_name": "GRIFFITH",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "VP/TREASURER",
"authorized_official_telephone_number": "808-542-0736",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL EXCISE TAX LICENSE",
"identifier": "GE-115-516-2112-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.