5 Minute Pharmacy LTC LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY-805 Issued in HI

Legal business name

5 MINUTE PHARMACY LTC LLC

Doing business as

5 Minute Pharmacy Long Term Care

Practice address

94-449 Akoki St Ste 102
Waipahu, HI 96797-2732

Phone

(808) 671-5511

Fax

(808) 671-5522

NPI assigned

Jul 21, 2011

Organization subpart

No

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

Authorized official

Name

Derek Tengan

Title

Member

Phone

(808) 671-5511

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• 5 Minute Pharmacy Long Term Care Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Tax ID family

5 Minute Pharmacy LTC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• 5 Minute Pharmacy LTC LLC

  • Specialty Pharmacy
  • Waipahu, HI
  • NPI 1104573088
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• 5 Minute Pharmacy LTC LLC

  • Specialty Pharmacy
  • Waipahu, HI
  • NPI 1104573088
  NPPES parent name

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1336427509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-449 AKOKI ST STE 102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972732",
            "telephone_number": "808-671-5511",
            "fax_number": "808-671-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-449 AKOKI ST STE 102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972732",
            "telephone_number": "808-671-5511",
            "fax_number": "808-671-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 MINUTE PHARMACY LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "TENGAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-671-5511"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "HI",
            "license": "PHY-805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131191",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688690",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "5 Minute Pharmacy Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "5 Minute Pharmacy Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 5 Minute Pharmacy LTC LLC
• 5 Minute Pharmacy Specialty, LLC
• 88 Lokomaikai Inc
• Michael Aaronoff, MD
• Jasmin Joy Abad, LMT
• Joamm Abate

• Long Term Care Pharmacy in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Long Term Care Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.