Organization Active NPI

Qsi Inc

Doing business as Times Pharmacy #8

  • Community/Retail Pharmacy
  • Honolulu, HI
National Provider Identifier
1326146358
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY626 Issued in HI
Legal business name
QSI INC
Doing business as
Times Pharmacy #8
Practice address
1290 S Beretania St
Honolulu, HI 96814-1513
Phone
(808) 522-5071
Fax
(808) 522-5076
NPI assigned
Sep 21, 2006
Last updated
Mar 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Richard Mejia, RPH
Title
Pharmacy Operations Manager
Phone
(808) 832-8255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY626 HI Primary

Addresses

Primary practice location

1290 S Beretania St
Honolulu, HI 96814-1513

Mailing address

PO Box 29960
Honolulu, HI 96820-2360
Phone (808) 831-5882

Other identifiers 3

IdentifierTypeStateIssuer
2017993OtherPK
08478701MedicaidHI
1201855MedicaidHI

Other names 1

  • Times Pharmacy #8 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051205000753 HI Part B Supplier - Mass Immunization (Roster Biller Only) 7517987530 13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kaneohe, HI; Waipahu, HI; Pearl City, HI; Lahaina, HI; Kailua, HI; Honolulu, HI; Aiea, HI

Other NPIs on the same Medicare enrollment 13

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

View all 13

National Provider Directory

National Provider Directory

Locations

1290 S Beretania St
Honolulu, HI 96814
Phone (808) 522-5071

Practitioners & affiliated clinicians

Practitioners 3

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1326146358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29960",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968202360",
            "telephone_number": "808-831-5882",
            "fax_number": "808-831-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141513",
            "telephone_number": "808-522-5071",
            "fax_number": "808-522-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QSI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "808-832-8255",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2017993",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08478701",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201855",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Times Pharmacy #8",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 9, 2016; 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.