Organization Active NPI

Shiigi Drug Co., Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hilo, HI
National Provider Identifier
1528023777
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PHY-169 Issued in HI
Legal business name
SHIIGI DRUG CO., INC.
Practice address
333 Kilauea Ave
Hilo, HI 96720-3013
Phone
(808) 935-0001
Fax
(808) 969-9833
NPI assigned
Apr 19, 2006
Last updated
Aug 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Louis H Matsukado, RPH
Title
President Owner
Phone
(808) 935-0001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHY-169 HI Primary
Community/Retail Pharmacy 3336C0003X PHY-169 HI

Addresses

Primary practice location

333 Kilauea Ave
Hilo, HI 96720-3013

Mailing address

333 Kilauea Ave
Hilo, HI 96720-3013
Phone (808) 935-0001

Other identifiers 3

IdentifierTypeStateIssuer
P7893OtherHIHMSA
57251201MedicaidHI
00791901MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071217000113 HI Part B Supplier - Public Health/Welfare Agency 3870533599 Practice locations: Hilo, HI
O20100930065349 HI DME Supplier - Pharmacy 3870533599 Practice locations: Hilo, HI

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Shiigi Drug Co Inc333 Kilauea Ave, Hilo, HI 96720-3013(808) 935-0001 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jul 1, 1966

National Provider Directory

National Provider Directory

Locations

333 Kilauea Ave
Hilo, HI 96720
Phone (808) 935-0001

333 Kilauea Ave
Ste 102
Hilo, HI 96720
Phone (808) 935-0001

333 Kilauea Ave
Ste 109
Hilo, HI 96720
Phone (808) 935-0001

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1528023777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203013",
            "telephone_number": "808-935-0001",
            "fax_number": "808-969-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203013",
            "telephone_number": "808-935-0001",
            "fax_number": "808-969-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIIGI DRUG CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "MATSUKADO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "808-935-0001",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "HI",
            "license": "PHY-169",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY-169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "P7893",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57251201",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00791901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.