Puna Plantation Hawaii, LTD.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY349 Issued in HI

Legal business name

PUNA PLANTATION HAWAII, LTD.

Doing business as

KTA Keauhou Pharmacy

Practice address

78-6831 Alii Dr
Kailua Kona, HI 96740-2495

Phone

(808) 322-2511

Fax

(808) 322-1832

NPI assigned

Oct 13, 2006

Last updated

Aug 27, 2025By 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

Toby B Taniguchi

Title

President

Phone

(808) 989-5466

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KTA Keauhou Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in HI2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Puna Plantation Hawaii, LTD

  dba Waikoloa Village Market Pharmacy

  • Community/Retail Pharmacy
  • Waikoloa, HI
  • NPI 1962846063

  7113027145

  Same PAC ID
• Puna Plantation Hawaii, LTD.

  dba KTA Kamuela Pharmacy

  • Community/Retail Pharmacy
  • Kamuela, HI
  • NPI 1134219645

  7113027145

  Same PAC ID
• Puna Plantation Hawaii, LTD.

  dba KTA Puainako Pharmacy

  • Community/Retail Pharmacy
  • Hilo, HI
  • NPI 1205500279

  7113027145

  Same PAC ID
• Puna Plantation Hawaii, LTD.

  dba KTA Puainako Pharmacy

  • Community/Retail Pharmacy
  • Hilo, HI
  • NPI 1821188327

  7113027145

  Same PAC ID

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Puna Plantation Hawaii, LTD

  dba Waikoloa Village Market Pharmacy

  • Community/Retail Pharmacy
  • Waikoloa, HI
  • NPI 1962846063

  O20170906000844

  Same enrollment
• Puna Plantation Hawaii, LTD.

  dba KTA Kamuela Pharmacy

  • Community/Retail Pharmacy
  • Kamuela, HI
  • NPI 1134219645

  O20170906000844

  Same enrollment
• Puna Plantation Hawaii, LTD.

  dba KTA Ponahawai Pharmacy

  • Community/Retail Pharmacy
  • Hilo, HI
  • NPI 1356118152

  O20170906000844

  Same enrollment
• Puna Plantation Hawaii, LTD.

  dba KTA Puainako Pharmacy

  • Community/Retail Pharmacy
  • Hilo, HI
  • NPI 1821188327

  O20170906000844

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

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.

• Lauren Domingo, PHARMD

  • Pharmacist
  • Hilo, HI
  • NPI 1073253332
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1518057017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402495",
            "telephone_number": "808-322-2511",
            "fax_number": "808-322-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402495",
            "telephone_number": "808-322-2511",
            "fax_number": "808-322-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNA PLANTATION HAWAII, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "TANIGUCHI",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-989-5466"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08387401",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS IMMUNIZ ROS",
            "identifier": "102639",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KTA Keauhou Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KTA Keauhou Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karl Prater, M.A., L.M.F.T.
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• Shannon Price-Schwartz, D.O.
• Princess Joy Domngo
• Anne Marie Provax, MFT
• Janelle Quinn
• R & S Enterprises Inc
• Victoria Gladden Rain, PA-C
• Ramona T. Estrada
• Gabriella Iakel Ramos

• Community/Retail Pharmacy in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Community/Retail Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.