Active NPI
Pharmacy Corporation of America
Doing business as Ipc Pharmacy Kailua
- Community/Retail Pharmacy
- Kailua, HI
National Provider Identifier
1386677953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PHARMACY CORPORATION OF AMERICA
- Doing business as
- Ipc Pharmacy Kailua
- Practice address
- 30 Aulike St
Kailua, HI 96734-2707 - Phone
- (808) 266-3222
- Fax
- (808) 266-3220
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pebbles Pangrazio
- Title
- Contract Administrator
- Phone
- (877) 975-2273
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY576 | HI | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
30 Aulike St
Kailua, HI 96734-2707
Mailing address
PO Box 409244
Atlanta, GA 30384-9244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1202566 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| L209589 | Medicaid | HI |
Other names 1
- IPC PHARMACY KAILUA
National Provider Directory
National Provider Directory- Tax ID family
- Beverly Enterrises
Organizations with this tax ID in the same state 4
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Pharmerica Kauai
- Long Term Care Pharmacy
- Lihue, HI
- NPI 1003849670
-
dba Kihei Professional Pharmacy
- Community/Retail Pharmacy
- Kihei, HI
- NPI 1568495133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1386677953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 409244",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303849244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 AULIKE ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342707",
"telephone_number": "808-266-3222",
"fax_number": "808-266-3220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY CORPORATION OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PANGRAZIO",
"authorized_official_first_name": "PEBBLES",
"authorized_official_title_or_position": "CONTRACT ADMINISTRATOR",
"authorized_official_telephone_number": "877-975-2273"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "HI",
"license": "PHY576",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1202566",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L209589",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "IPC PHARMACY KAILUA",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.