NPIMap

Organization Active NPI

Kalihi Palama Health Center

  • Clinic Pharmacy
  • Honolulu, HI
National Provider Identifier
1376842492
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHY-797 Issued in HI
Legal business name
KALIHI PALAMA HEALTH CENTER
Practice address
89 S King St
Honolulu, HI 96813-4315
Phone
(808) 792-5560
Fax
(808) 792-5577
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Emmanuel Kintu, DMGT., MBA
Title
Ceo/Executive Director
Phone
(808) 791-6315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PHY-797 HI Primary

Addresses

Primary practice location

89 S King St
Honolulu, HI 96813-4315

Mailing address

PO Box 17460
Honolulu, HI 96817-0460
Phone (808) 791-4549

Other identifiers 2

IdentifierTypeStateIssuer
51863101MedicaidHI
2129437OtherPK

Other names 1

  • KPHC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kalihi-Palama Health Center Optometry13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1376842492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17460",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968170460",
            "telephone_number": "808-791-4549",
            "fax_number": "808-845-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134315",
            "telephone_number": "808-792-5560",
            "fax_number": "808-792-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIHI PALAMA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "KINTU",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-791-6315",
        "authorized_official_credential": "DMGT., MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "HI",
            "license": "PHY-797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51863101",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KPHC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.