Queens Development Corporation & Subsidiaries

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

QUEENS DEVELOPMENT CORPORATION & SUBSIDIARIES

Practice address

91-2139 Fort Weaver Rd Ste 106
Ewa Beach, HI 96706-3608

Phone

(808) 691-4342

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gavin Sanjume, PHARMD., BCPS, MBA

Title

Director

Phone

(808) 691-4342

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Queen'S Development Corporation & Subsidiaries

  • Pharmacy
  • Honolulu, HI
  • NPI 1245231851

  O20190711003591, O20201231001736

  Same enrollment
• Queen'S Development Corporation & Subsidiaries

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
  • NPI 1881695476

  O20190711003591, O20201231001736

  Same enrollment
• Queens Development Corporation & Subsidiaries

  • Pharmacy
  • Honolulu, HI
  • NPI 1003984246

  O20190711003591, O20201231001736

  Same enrollment

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Accuimaging, LLC

  • Diagnostic Radiology Physician
  • Kapolei, HI
  • NPI 1518911957

  Member Of

  NPD member
• Diagnostic Laboratory Services, Inc

  • Clinical Medical Laboratory
  • Aiea, HI
  • NPI 1215930987

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1265098701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132401",
            "telephone_number": "808-691-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2139 FORT WEAVER RD STE 106",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063608",
            "telephone_number": "808-691-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS DEVELOPMENT CORPORATION & SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "SANJUME",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-691-4342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD., BCPS, MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth C. Pugh, PH.D.
• Amanda Pump, MS HUMAN SERVICES
• Donald E. Pump, MS, ACSM-CEP
• Alexander Quach
• Franciska Quan, RN
• Jo-Ann Quengua-Atienza, DMD
• Rachel Tortolini MD,LLC
• Kanani Elizabeth Hosaka Racimo
• Kawaioulu Ragasa
• Rainbow Dental Center- Ewa Beach, LLC

• Community/Retail Pharmacy in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Community/Retail Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.