NPIMap

Organization Active NPI

Brian a Carter Inc

  • Specialty Pharmacy
  • Hanapepe, HI
National Provider Identifier
1396197182
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PHY-911 Issued in HI
Legal business name
BRIAN A CARTER INC
Practice address
1-3845 Kaumualii Highway
Suite B
Hanapepe, HI 96716-0526
Phone
(808) 645-0491
Fax
(808) 335-0043
NPI assigned
Jul 6, 2016
Last updated
Nov 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Brian CarterNPI 1164614681
Title
President
Phone
(808) 645-0491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Specialty Pharmacy 3336S0011X PHY-911 HI Primary

Addresses

Primary practice location

1-3845 Kaumualii Highway
Suite B
Hanapepe, HI 96716-0526

Mailing address

PO Box 526
Hanapepe, HI 96716-0526
Phone (808) 645-0491

Other identifiers 1

IdentifierTypeStateIssuer
2160856OtherPK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171130003098 HI Part B Supplier - Pharmacy 9032476916 Practice locations: Hanapepe, HI

National Provider Directory

National Provider Directory
Tax ID family
Brian a Carter Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1396197182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "HANAPEPE",
            "state": "HI",
            "postal_code": "967160526",
            "telephone_number": "808-645-0491",
            "fax_number": "808-335-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1-3845 KAUMUALII HIGHWAY",
            "address_2": "SUITE B",
            "city": "HANAPEPE",
            "state": "HI",
            "postal_code": "967160526",
            "telephone_number": "808-645-0491",
            "fax_number": "808-335-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A CARTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-645-0491"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "HI",
            "license": "PHY-911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160856",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanapepe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.