NPIMap

Organization Active NPI

Puna Plantation Hawaii, LTD.

Doing business as KTA Ponahawai Pharmacy

  • Community/Retail Pharmacy
  • Hilo, HI
National Provider Identifier
1356118152
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PUNA PLANTATION HAWAII, LTD.
Doing business as
KTA Ponahawai Pharmacy
Practice address
670 Ponahawai St
Hilo, HI 96720-2660
Phone
(808) 959-2849
NPI assigned
Dec 11, 2023
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Toby B Taniguchi
Title
President
Phone
(808) 989-5466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

670 Ponahawai St
Hilo, HI 96720-2660

Mailing address

50 E Puainako St
Hilo, HI 96720-5243
Phone (808) 959-2849

Other names 1

  • KTA Ponahawai Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170906000844 HI Part B Supplier - Pharmacy 7113027145 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hilo, HI; Kailua Kona, HI; Kamuela, HI; Waikoloa, HI

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Kta Ponahawai LTC Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1356118152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E PUAINAKO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205243",
            "telephone_number": "808-959-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-959-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNA PLANTATION HAWAII, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "TANIGUCHI",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-989-5466"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KTA Ponahawai Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KTA Ponahawai Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.