Mina Pharmacy LTC, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY-693 Issued in HI

Legal business name

MINA PHARMACY LTC, LLC

Practice address

4510 Salt Lake Blvd
#B7-a
Honolulu, HI 96818-3171

Phone

(808) 488-7500

Fax

(808) 488-7505

NPI assigned

Apr 5, 2007

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 #7, LTC Doing business as

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1255453676",
    "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": "4510 SALT LAKE BLVD",
            "address_2": "#B7-A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183171",
            "telephone_number": "808-488-7500",
            "fax_number": "808-488-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA PHARMACY LTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2011-09-08",
        "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": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "HI",
            "license": "PHY-693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mina pharmacy #7, LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mina Corporation
• Mina Corporation
• Mina Ganapathy MD Inc
• Mina Ganapathy MD LLC
• Mina Pharmacy LLC
• Mina Pharmacy LTC, LLC
• Desiree Mina
• Djhoanna Mina, RN
• Dawn H. Minaai, MD
• Steven M. Minaglia, MD

• Long Term Care Pharmacy in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Long Term Care Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.