NPIMap

Organization Active NPI

Hamakua Family Pharmacy, Inc.

  • Pharmacist
  • Honokaa, HI
National Provider Identifier
1306881891
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY-652 Issued in HI
Legal business name
HAMAKUA FAMILY PHARMACY, INC.
Practice address
45-3551 Mamane St
Suite #4
Honokaa, HI 96727
Phone
(808) 775-0496
Fax
(808) 775-9786
NPI assigned
Jun 18, 2006
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Eileen Cheng, PHARM.D.NPI 1154090223
Title
President
Phone
(808) 937-6379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X W40065112-01 HI
Pharmacist 183500000X PHY-652 HI Primary

Addresses

Primary practice location

45-3551 Mamane St
Suite #4
Honokaa, HI 96727

Mailing address

PO Box 1363
Honokaa, HI 96727-1363
Phone (808) 775-0825

Other identifiers 1

IdentifierTypeStateIssuer
558695MedicaidHI

National Provider Directory

National Provider Directory

Locations

45-3551 Mamane St
Ste 4
Honokaa, HI 96727
Phone (808) 775-0496

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1306881891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1363",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967271363",
            "telephone_number": "808-775-0825",
            "fax_number": "808-775-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-3551 MAMANE ST",
            "address_2": "SUITE #4",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "96727",
            "telephone_number": "808-775-0496",
            "fax_number": "808-775-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMAKUA FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-937-6379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "HI",
            "license": "W40065112-01",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PHY-652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558695",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honokaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.