Organization Active NPI

Kuakini Development Corporation

  • Pharmacy
  • Honolulu, HI
National Provider Identifier
1326031279
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
10097902 Issued in HI
Legal business name
KUAKINI DEVELOPMENT CORPORATION
Practice address
321 N Kuakini St
Honolulu, HI 96817-2364
Phone
(808) 547-9231
Fax
(808) 547-9547
NPI assigned
Aug 25, 2005
Last updated
Dec 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Mr. Gary Kajiwara
Title
President & Ceo
Phone
(808) 547-9231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 10097902 HI Primary

Addresses

Primary practice location

321 N Kuakini St
Honolulu, HI 96817-2364

Mailing address

321 N Kuakini St
Honolulu, HI 96817-2364
Phone (808) 547-9231

Other identifiers 3

IdentifierTypeStateIssuer
0000953172OtherHIDEPT OF LABOR
251855-01MedicaidHI
10097902OtherHISTATE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000574 HI Part B Supplier - Pharmacy 7416847397 Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

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

Locations

321 N Kuakini St
Honolulu, HI 96817
Phone (808) 522-0190

321 N Kuakini St
Ste 105
Honolulu, HI 96817
Phone (808) 547-9440

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": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1326031279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-547-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-547-9231",
            "fax_number": "808-547-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUAKINI DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "KAJIWARA",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "808-547-9231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "HI",
            "license": "10097902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "0000953172",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251855-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "10097902",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.