G Corp Dba Maui Home Infusion

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

PHY598 Issued in HI

Legal business name

G CORP DBA MAUI HOME INFUSION

Practice address

60 E Wakea Ave
Suite 116
Kahului, HI 96732-2466

Phone

(808) 871-4663

Fax

(808) 893-2001

NPI assigned

Dec 21, 2005

Last updated

Aug 22, 2020By 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

Kevin Glick, RPH

Title

President

Phone

(808) 245-1864

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376529412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4473 PAHEE ST",
            "address_2": "SUITE I",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662037",
            "telephone_number": "808-871-4663",
            "fax_number": "808-893-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E WAKEA AVE",
            "address_2": "SUITE 116",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322466",
            "telephone_number": "808-871-4663",
            "fax_number": "808-893-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G CORP DBA MAUI HOME INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-245-1864",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "HI",
            "license": "PHY598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank R. Baum, MD, Inc.
• Lauren Trinity Franzwa, L.M.T.
• James R Frede, MD
• Ann Marie Fuggiasco, LMT
• Ryan Fusato, M.D.
• Nicole Galasso, RBT
• Nicole Naulani Galindo, LCSW
• Kayla Gallagher
• Peter Alfred Galpin, M.D.
• Benjamin Tiongson Gamboa, MD

• Parenteral & Enteral Nutrition Supplies (DME) in Kahului, HI
• Providers in Kahului, HI by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.