Upcountry Pharmacy Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY445 Issued in HI

Legal business name

UPCOUNTRY PHARMACY SERVICES INC

Doing business as

Paradise Pharmacy

Practice address

81 Makawao Ave
Suite 106
Makawao, HI 96768-8895

Phone

(808) 572-1266

Fax

(808) 572-0745

NPI assigned

Nov 21, 2006

Last updated

Dec 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Land, RPH

Title

Owner and President

Phone

(808) 572-1266

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PARADISE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1306911987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MAKAWAO AVE",
            "address_2": "SUITE 106",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MAKAWAO AVE",
            "address_2": "SUITE 106",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688895",
            "telephone_number": "808-572-1266",
            "fax_number": "808-572-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPCOUNTRY PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "808-572-1266",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1202477",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARADISE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spencer Tokushima, DPT
• Kelly Turner-Cooke
• Esma Udvardi
• Ultimate Health Chiropractic LLC (Walker Chiropractic, PC)
• Sesame Unlu, L.AC., LMT
• Upcountry Urgent Care LLC
• Dominique Valencia Bolosan
• Hana A Vandervoort, DMD
• Dana Ventura, M.S., CCC-SLP
• Michelle Villanti, LCSW

• Community/Retail Pharmacy in Makawao, HI
• Providers in Makawao, 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 Dec 12, 2008; 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.