Princeville Pharmacy and Health Emporium LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY921 Issued in HI

Legal business name

PRINCEVILLE PHARMACY AND HEALTH EMPORIUM LLC

Practice address

4488 Hanalei Plantation Road
Suite 100
Princeville, HI 96722

Phone

(808) 826-1800

NPI assigned

Jun 19, 2018

Last updated

Sep 12, 2018By 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

Sheree Latif

Title

President

Phone

(808) 651-7593

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1356835730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 HANALEI PLANTATION ROAD",
            "address_2": "SUITE 100",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "96722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 HANALEI PLANTATION ROAD",
            "address_2": "SUITE 100",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "96722",
            "telephone_number": "808-826-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCEVILLE PHARMACY AND HEALTH EMPORIUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-651-7593"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tulasi Adeva Perrin, MA, CYT
• Shayne Nicole Opal Phillips, FNP-C
• Princeville Chiropractic Inc
• Princeville Chiropractic, Inc.
• Princeville Dental, LLC
• Jana Aulani Redaus Purdy
• Rainbows Light LLC
• Cherokee Rose Lee Rova, PAC
• Teal Lani Sargent, LCSW
• Julia Streich

• Community/Retail Pharmacy in Princeville, HI
• Providers in Princeville, HI by specialty
• Community/Retail Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.