NPIMap

Organization Active NPI

Wellness Pharmacy Inc

  • Community/Retail Pharmacy
  • Honolulu, HI
National Provider Identifier
1457416059
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY602 Issued in HI
Legal business name
WELLNESS PHARMACY INC
Doing business as
WELLNESS PHARMACY INC
Practice address
100 N Beretania St
Suite 148
Honolulu, HI 96817-4712
Phone
(808) 550-2833
Fax
(808) 550-2832
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Henry Quan, RPH
Title
President
Phone
(808) 550-2833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY602 HI Primary

Addresses

Primary practice location

100 N Beretania St
Suite 148
Honolulu, HI 96817-4712

Mailing address

100 N Beretania St
Suite 148
Honolulu, HI 96817-4712
Phone (808) 550-2833

Other identifiers 2

IdentifierTypeStateIssuer
1203873OtherNCPDP PROVIDER IDENTIFICATION NUMBER
25087601MedicaidHI

Other names 1

  • WELLNESS PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

100 N Beretania St
Ste 148
Honolulu, HI 96817
Phone (808) 550-2833

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1457416059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BERETANIA ST",
            "address_2": "SUITE 148",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174712",
            "telephone_number": "808-550-2833",
            "fax_number": "808-550-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BERETANIA ST",
            "address_2": "SUITE 148",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174712",
            "telephone_number": "808-550-2833",
            "fax_number": "808-550-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-550-2833",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1203873",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25087601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS PHARMACY INC",
            "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 May 4, 2011; 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.