NPIMap

Organization Active NPI

Don Quijote (USA) Co.,LTD

  • Community/Retail Pharmacy
  • Waipahu, HI
National Provider Identifier
1295880169
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY-558 Issued in HI
Legal business name
DON QUIJOTE (USA) CO.,LTD
Practice address
94-144 Farrington Hwy
Attention Pharmacy
Waipahu, HI 96797-1901
Phone
(808) 678-6831
Fax
(808) 671-3946
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Herbert K Gushikuma
Title
Vice President
Phone
(808) 973-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY-558 HI Primary

Addresses

Primary practice location

94-144 Farrington Hwy
Attention Pharmacy
Waipahu, HI 96797-1901

Mailing address

801 Kaheka St
Honolulu, HI 96814-3725
Phone (808) 973-6600

Other identifiers 3

IdentifierTypeStateIssuer
1203520OtherNCPDP#(NABP#)
B026155-8OtherHIHMSA PROVIDER #
00101601MedicaidHI

Other names 1

  • Don Quijote Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141112002480 HI Part B Supplier - Mass Immunization (Roster Biller Only) 5092937763 2 other NPIs on this enrollment
Practice locations: Honolulu, HI; Waipahu, HI

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Don Quijote USA Co LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295880169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 KAHEKA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143725",
            "telephone_number": "808-973-6600",
            "fax_number": "808-976-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-144 FARRINGTON HWY",
            "address_2": "ATTENTION PHARMACY",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971901",
            "telephone_number": "808-678-6831",
            "fax_number": "808-671-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON QUIJOTE (USA) CO.,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "GUSHIKUMA",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "808-973-6600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY-558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP#(NABP#)",
            "identifier": "1203520",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER #",
            "identifier": "B026155-8",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00101601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Don Quijote Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.