Island Choice Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ISLAND CHOICE MEDICAL SUPPLY LLC

Doing business as

Island Choice Medical Supply LLC

Practice address

91-1820 Kohanahana Loop
Ewa Beach, HI 96706-7852

Phone

(808) 725-4627

Fax

(808) 685-6701

NPI assigned

Mar 26, 2024

Last updated

Mar 26, 2024By 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

Jerwin R BumanglagNPI 1831693761

Title

Owner

Phone

(808) 725-4627

Specialties & licenses 1

Addresses

Other names 1

• Island Choice Medical Supply LLC Doing business as

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.

• Jerwin R Bumanglag

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
  • NPI 1831693761
  NPD Authorized official

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1336999697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1820 KOHANAHANA LOOP",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967067852",
            "telephone_number": "808-725-4627",
            "fax_number": "808-685-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1820 KOHANAHANA LOOP",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967067852",
            "telephone_number": "808-725-4627",
            "fax_number": "808-685-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CHOICE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "BUMANGLAG",
        "authorized_official_first_name": "JERWIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-725-4627"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Choice Medical Supply LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Durable Medical Equipment & Medical Supplies in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.