Organization Active NPI

Ultimate Foot Store, Inc

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
National Provider Identifier
1245706969
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Sep 9, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GE-115-516-2112-01OtherHIGENERAL EXCISE TAX LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.