Mina Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY814 Issued in HI

Legal business name

MINA CORPORATION

Practice address

440 Kilani Ave
Wahiawa, HI 96786-1837

Phone

(808) 533-9020

Fax

(808) 690-9189

NPI assigned

Jun 4, 2012

Organization subpart

No

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

Authorized official

Name

Adel Etinas

Title

Ceo

Phone

(808) 738-4540

Specialties & licenses 1

Addresses

Other names 1

• Mina Pharmacy #17 Doing business as

Locations

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1275894594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 KOAPAKA ST STE F245",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191881",
            "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": "440 KILANI AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861837",
            "telephone_number": "808-533-9020",
            "fax_number": "808-690-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "ETINAS",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-738-4540"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mina Pharmacy #17",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Arts Clinic Inc
• Amanda Medlin
• Tanyalee Menino, R.N.
• Michael Tubianosa MD Inc
• Kara Miller, ATC
• Harvey Tsutoma Misaki, DDS
• Andy Miyamoto Jr.
• Cody Miyamoto
• Cerene Molina
• Michelle Alexandria Moncrief, BSM, CPM, LM

• Community/Retail Pharmacy in Wahiawa, HI
• Providers in Wahiawa, 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 Jan 13, 2015; 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.